Provider Demographics
NPI:1891211009
Name:DELEON, ALLEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:
Last Name:DELEON
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 1:1339 N DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93907-1988
Mailing Address - Country:US
Mailing Address - Phone:831-751-0414
Mailing Address - Fax:831-751-0435
Practice Address - Street 1:1339 N DAVIS RD
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93907-1988
Practice Address - Country:US
Practice Address - Phone:831-751-0414
Practice Address - Fax:831-751-0435
Is Sole Proprietor?:No
Enumeration Date:2017-08-18
Last Update Date:2017-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75087183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist