Provider Demographics
NPI:1093474686
Name:GOOTEE, ALLISON RACHEL (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:RACHEL
Last Name:GOOTEE
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 1:3585 DANVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:KY
Mailing Address - Zip Code:40033-9602
Mailing Address - Country:US
Mailing Address - Phone:270-699-6737
Mailing Address - Fax:
Practice Address - Street 1:325 W WALNUT ST STE 500
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:KY
Practice Address - Zip Code:40033-1379
Practice Address - Country:US
Practice Address - Phone:270-692-3111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-11
Last Update Date:2021-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY022218183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist