Provider Demographics
NPI:1205035565
Name:APPLE, ALISON (DPH)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:APPLE
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 UNION AVE
Mailing Address - Street 2:DEPARTMENT OF PHARMACY ADMINISTRATION
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-3415
Mailing Address - Country:US
Mailing Address - Phone:901-516-8406
Mailing Address - Fax:901-516-8178
Practice Address - Street 1:1265 UNION AVE
Practice Address - Street 2:DEPARTMENT OF PHARMACY ADMINISTRATION
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3415
Practice Address - Country:US
Practice Address - Phone:901-516-8406
Practice Address - Fax:901-516-8178
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6933183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist