Provider Demographics
NPI:1316565963
Name:ALLEN SPECIALTY PHARMACY, INC
Entity Type:Organization
Organization Name:ALLEN SPECIALTY PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SHAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:AKHTAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-399-5330
Mailing Address - Street 1:1816 S FM 51 STE 1600
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-3665
Mailing Address - Country:US
Mailing Address - Phone:940-399-5330
Mailing Address - Fax:
Practice Address - Street 1:1816 S FM 51 STE 1600
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3665
Practice Address - Country:US
Practice Address - Phone:940-399-5330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy