Allen, Georgia Irene

Allen, Georgia Irene is an sole proprietor health care provider with primary practice located at 4601 Ironbound Rd Eastern State Hospital, Williamsburg VA 23188-2652. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Allen, Georgia Irene can be contacted via phone (757) 253-5327.

Contact Information

Primary practice address
4601 Ironbound Rd Eastern State Hospital Williamsburg VA 23188-2652
Fax: (757) 253-4521
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0202006340 Virginia

Profile Details

NPI number 1750381919
LBN Legal business name Allen, Georgia Irene
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Feb 19th, 2008 - about 17 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 1750381919 NPPES
Virginia Other 0202006340 PHARMACIST LICENSE

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