Provider Demographics
NPI:1437304227
Name:ALLEN, ZANETA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ZANETA
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4470 W SUNSET BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6309
Mailing Address - Country:US
Mailing Address - Phone:813-774-2365
Mailing Address - Fax:
Practice Address - Street 1:10807 FALLS RD UNIT 828
Practice Address - Street 2:
Practice Address - City:BROOKLANDVILLE
Practice Address - State:MD
Practice Address - Zip Code:21022-7533
Practice Address - Country:US
Practice Address - Phone:443-390-5652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL19722183500000X
333600000X
FLPS34149183500000X
FLPU6319183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No333600000XSuppliersPharmacy