Provider Demographics
NPI:1205065455
Name:ALLEN, STEPHANIE BRNA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:BRNA
Last Name:ALLEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2120 E FIRE TOWER RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-8013
Mailing Address - Country:US
Mailing Address - Phone:252-355-3083
Mailing Address - Fax:252-355-5722
Practice Address - Street 1:13600 S BLACKBOB RD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1934
Practice Address - Country:US
Practice Address - Phone:913-782-2039
Practice Address - Fax:913-782-1463
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-14822183500000X
NC20952183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist