Provider Demographics
NPI:1093319378
Name:NWEEIA, ALYSSA NICOLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:NICOLE
Last Name:NWEEIA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-6353
Mailing Address - Country:US
Mailing Address - Phone:786-202-0459
Mailing Address - Fax:
Practice Address - Street 1:3932 COTTAGE HILL RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-6512
Practice Address - Country:US
Practice Address - Phone:251-661-1190
Practice Address - Fax:251-661-6012
Is Sole Proprietor?:No
Enumeration Date:2020-11-26
Last Update Date:2020-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS53561183500000X
AL19119183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist