Provider Demographics
NPI:1649809898
Name:ALLEN, TAMMARA TARAE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TAMMARA
Middle Name:TARAE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:BAYLOR SCOTT AND WHITE
Mailing Address - Street 2:4716 ALLIANCE BOULEVARD PAVILION II, SUITE 280
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:469-814-5780
Mailing Address - Fax:469-814-5788
Practice Address - Street 1:4718 ALLIANCE BOULEVARD
Practice Address - Street 2:SUITE 280
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:469-814-5780
Practice Address - Fax:469-814-5788
Is Sole Proprietor?:No
Enumeration Date:2020-04-08
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50460183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist