Provider Demographics
NPI:1730811589
Name:ALLEN, NICHOLAS TOD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:TOD
Last Name:ALLEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6017 TENNYSON DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1079
Mailing Address - Country:US
Mailing Address - Phone:865-748-0587
Mailing Address - Fax:
Practice Address - Street 1:1924 ALCOA HWY STE NP100
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1511
Practice Address - Country:US
Practice Address - Phone:865-305-7420
Practice Address - Fax:865-305-7417
Is Sole Proprietor?:No
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN46281183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist