Provider Demographics
NPI:1104151158
Name:BELL, ALLAN DAVID (RPH)
Entity type:Individual
Prefix:
First Name:ALLAN
Middle Name:DAVID
Last Name:BELL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1056
Mailing Address - Street 2:45 MAIN STREET
Mailing Address - City:NANTUCKET
Mailing Address - State:MA
Mailing Address - Zip Code:02554-1056
Mailing Address - Country:US
Mailing Address - Phone:508-228-0180
Mailing Address - Fax:508-325-7106
Practice Address - Street 1:45 MAIN STREET
Practice Address - Street 2:
Practice Address - City:NANTUCKET
Practice Address - State:MA
Practice Address - Zip Code:02554-3542
Practice Address - Country:US
Practice Address - Phone:508-228-0180
Practice Address - Fax:508-325-7106
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-08
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH17011183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist