Allen, Mary Jane

Allen, Mary Jane is an individual health care provider with primary practice located at 1350 S Seward Meridian Pkwy , Wasilla AK 99654-8332. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Allen, Mary Jane can be contacted via phone (907) 376-9783.

Contact Information

Primary practice address
1350 S Seward Meridian Pkwy Wasilla AK 99654-8332
Phone: (907) 376-9783
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 895 Alaska

Profile Details

NPI number 1659622736
LBN Legal business name Allen, Mary Jane
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2012
Last updated Jun 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659622736 NPPES
Alaska Other 895 ALASKA STATE PHARMACY LICENSE NUMBER

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