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DR. NATHAN BRYAN ALLEN PHARM D

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1285943167

Individual Registrant:
DR. NATHAN BRYAN ALLEN PHARM D
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

Contact information for business:
3955 EAGLE ROCK RD  KINGMAN, AZ 86409-3322 US
Tel: 928-757-0049  Fax: 928-763-1869

Registration Information:
NPI: 1285943167
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AZS014877
N183500000XPharmacy Service Providers
Pharmacist
NV17111
N183500000XPharmacy Service Providers
Pharmacist
UT4730956-1701

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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