Deyette, Allison Clark
Deyette, Allison Clark is an sole proprietor health care provider with primary practice located at 16700 N Market Place Blvd , Nampa ID 83687-7909. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Deyette, Allison Clark can be contacted via phone (208) 465-3809.Contact Information
Primary practice address
16700 N Market Place Blvd
Nampa ID 83687-7909
Phone: (208) 465-3809
Fax: (208) 465-3806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P5582 | Idaho |
Profile Details
| NPI number | 1508157603 |
|---|---|
| LBN Legal business name | Deyette, Allison Clark |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2011 |
| Last updated | Apr 22nd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508157603 | NPPES |
| Idaho | Other | P5582 | IDAHO STATE BOARD OF PHARMACY |
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