Provider Demographics
NPI:1083702518
Name:WILLIAM J. ALLEGRE
Entity Type:Organization
Organization Name:WILLIAM J. ALLEGRE
Other - Org Name:ALLEGRE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JACK
Authorized Official - Last Name:ALLEGRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-242-3092
Mailing Address - Street 1:304 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:KS
Mailing Address - Zip Code:66067-2332
Mailing Address - Country:US
Mailing Address - Phone:785-242-3092
Mailing Address - Fax:785-242-0869
Practice Address - Street 1:304 S MAIN ST
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:KS
Practice Address - Zip Code:66067-2332
Practice Address - Country:US
Practice Address - Phone:785-242-3092
Practice Address - Fax:785-242-0869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1704596OtherNCPDP
1704596OtherNCPDP