Provider Demographics
NPI:1144393620
Name:EISENMANN, ALLISON (PHARM, D)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:
Last Name:EISENMANN
Suffix:
Gender:F
Credentials:PHARM, D
Other - Prefix:MRS
Other - First Name:ALLISON
Other - Middle Name:EISENMANN
Other - Last Name:EARWOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5976 HIDDEN CREEK LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4644
Mailing Address - Country:US
Mailing Address - Phone:469-774-8034
Mailing Address - Fax:972-459-1391
Practice Address - Street 1:2790 LAKE VISTA DR
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-3884
Practice Address - Country:US
Practice Address - Phone:972-459-1390
Practice Address - Fax:972-459-1391
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX378601835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology