Provider Demographics
NPI:1366572240
Name:ALLEN FAMILY DRUG
Entity type:Organization
Organization Name:ALLEN FAMILY DRUG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RPH
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:R
Authorized Official - Last Name:CLEMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-390-9888
Mailing Address - Street 1:400 N ALLEN DR
Mailing Address - Street 2:STE. 102
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-2555
Mailing Address - Country:US
Mailing Address - Phone:972-390-9888
Mailing Address - Fax:972-390-9889
Practice Address - Street 1:400 N ALLEN DR
Practice Address - Street 2:STE. 102
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2555
Practice Address - Country:US
Practice Address - Phone:972-390-9888
Practice Address - Fax:972-390-9889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX154503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4588870OtherNABP
TX4588870OtherNABP