Provider Demographics
NPI:1437209509
Name:ALLARD, DARIN LEE (RPH)
Entity Type:Individual
Prefix:
First Name:DARIN
Middle Name:LEE
Last Name:ALLARD
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 1:41402 FLATHEAD VIEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:POLSON
Mailing Address - State:MT
Mailing Address - Zip Code:59860
Mailing Address - Country:US
Mailing Address - Phone:406-883-1411
Mailing Address - Fax:406-883-1411
Practice Address - Street 1:8 MISSION DRIVE
Practice Address - Street 2:BOX 880 THHS PHARMACY
Practice Address - City:ST IGNATIUS
Practice Address - State:MT
Practice Address - Zip Code:59865
Practice Address - Country:US
Practice Address - Phone:406-745-2426
Practice Address - Fax:406-745-2437
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3387183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist