Provider Demographics
NPI:1558515734
Name:ALLEN INVESTORS AND PHARMACY FIRST CO LLC
Entity Type:Organization
Organization Name:ALLEN INVESTORS AND PHARMACY FIRST CO LLC
Other - Org Name:IN N OUT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-390-7126
Mailing Address - Street 1:PO BOX 48795
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33646-0124
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7229 N DALE MABRY HWY
Practice Address - Street 2:STE 7
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-2699
Practice Address - Country:US
Practice Address - Phone:813-374-2416
Practice Address - Fax:813-374-2417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-14
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH 237123336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1040574OtherNCPDP PROVIDER IDENTIFICATION NUMBER