Provider Demographics
NPI:1285631556
Name:SHEK, ALLEN (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:
Last Name:SHEK
Suffix:
Gender:M
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TJL SCHOOL OF PHARMACY, 3601 PACIFIC AVE
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95211-0001
Mailing Address - Country:US
Mailing Address - Phone:209-482-2670
Mailing Address - Fax:209-461-2409
Practice Address - Street 1:500 WEST HOSPITAL RD
Practice Address - Street 2:SAN JOAQUIN GENERAL HOSPITAL, OUTPATIENT PHARMACY
Practice Address - City:FRENCH CAMP
Practice Address - State:CA
Practice Address - Zip Code:95231
Practice Address - Country:US
Practice Address - Phone:209-482-2670
Practice Address - Fax:209-461-2409
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH448871835P1200X
IL1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy