Individual
ALLYSON ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
452 S LEHIGH AVE, FRACKVILLE, PA 17931-2414
(570) 874-1587
Mailing address
452 S LEHIGH AVE, FRACKVILLE, PA 17931-2414
(570) 874-1587
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP045744L
PA
183500000X
Pharmacist
RPI005910
PA
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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