Provider Demographics
NPI:1386819258
Name:KNEE, ALLEN DAVID (RPH, CPH)
Entity type:Individual
Prefix:
First Name:ALLEN
Middle Name:DAVID
Last Name:KNEE
Suffix:
Gender:M
Credentials:RPH, CPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10151 NW 59TH DR
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-2564
Mailing Address - Country:US
Mailing Address - Phone:954-805-4448
Mailing Address - Fax:
Practice Address - Street 1:10151 NW 59TH DR
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076-2564
Practice Address - Country:US
Practice Address - Phone:954-805-4448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS16861183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist