Provider Demographics
NPI:1427386473
Name:ALLEN, DEBORAH DENISE (RPH)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:DENISE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:858 SAN FERNANDO LN
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-2899
Mailing Address - Country:US
Mailing Address - Phone:830-627-2479
Mailing Address - Fax:830-625-3943
Practice Address - Street 1:1210 N BUSINESS 35
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3239
Practice Address - Country:US
Practice Address - Phone:830-626-3364
Practice Address - Fax:830-625-3943
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34430183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist