Provider Demographics
NPI:1497011191
Name:ALLEN, DENNIS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:
Last Name:ALLEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 GRANT RD
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-5328
Mailing Address - Country:US
Mailing Address - Phone:509-881-2833
Mailing Address - Fax:509-881-2827
Practice Address - Street 1:11 GRANT RD
Practice Address - Street 2:
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-5328
Practice Address - Country:US
Practice Address - Phone:509-881-2833
Practice Address - Fax:509-881-2827
Is Sole Proprietor?:No
Enumeration Date:2012-04-06
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00052860183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist