Provider Demographics
NPI:1356442719
Name:CRAMER, ALLEN LEONARD (RPH)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:LEONARD
Last Name:CRAMER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 HOLLOWS CIR
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-3704
Mailing Address - Country:US
Mailing Address - Phone:954-596-4596
Mailing Address - Fax:
Practice Address - Street 1:3116 W COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3415
Practice Address - Country:US
Practice Address - Phone:954-739-2829
Practice Address - Fax:954-739-3680
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0012815183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist