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Timothy Allen, PHARM D
NPI 1790032548 · on the registry since 2012
Practice
- Address
- 570 S State St
Shelley, ID 83274 - Phone
- (208) 357-0473
- Fax
- (208) 357-0498
- Organisation at this address
- Broulim Supermarkets, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-08-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho