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Contact Information

JACKSON B ALLEN, PHARM.D.
1400 E MAIN ST
BOONEVILLE, AR72927-6932
 Phone: 479-675-5341
 Fax: 479-675-3400
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JACKSON B ALLEN · (Male)

NPI # 1366032104
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 01/26/2021
Last updated 01/26/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # PD15578
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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