Provider Demographics
NPI:1780947820
Name:ALLEN, DEBRA ANN (PHARMD)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:ALLEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6520 N NEVADA ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-5100
Mailing Address - Country:US
Mailing Address - Phone:509-489-5287
Mailing Address - Fax:509-489-0581
Practice Address - Street 1:6520 N NEVADA ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-5100
Practice Address - Country:US
Practice Address - Phone:509-489-5287
Practice Address - Fax:509-489-0581
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH600100653183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist