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DR. NATHAN BRYAN ALLEN PHARM D
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1285943167
Individual Registrant:DR. NATHAN BRYAN ALLEN PHARM D
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1775 LAKESIDE DR BULLHEAD CITY, AZ 86442-5732 US
Tel: 928-763-8777 Fax: 928-763-1869
Tel: 928-763-8777 Fax: 928-763-1869
Contact information for business:
3955 EAGLE ROCK RD KINGMAN, AZ 86409-3322 US
Tel: 928-757-0049 Fax: 928-763-1869
Tel: 928-757-0049 Fax: 928-763-1869
Registration Information:
NPI: 1285943167
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | AZ | S014877 |
| N | 183500000X | Pharmacy Service Providers Pharmacist | NV | 17111 |
| N | 183500000X | Pharmacy Service Providers Pharmacist | UT | 4730956-1701 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
