Provider Demographics
NPI:1225339492
Name:ALLINSON, ALICE M (RPH)
Entity Type:Individual
Prefix:MS
First Name:ALICE
Middle Name:M
Last Name:ALLINSON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 N BALTIMORE ST
Mailing Address - Street 2:P.O. BOX 72
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-5109
Mailing Address - Country:US
Mailing Address - Phone:660-665-9871
Mailing Address - Fax:660-665-4332
Practice Address - Street 1:23632 BURK TRL
Practice Address - Street 2:
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501-7869
Practice Address - Country:US
Practice Address - Phone:660-665-9871
Practice Address - Fax:660-665-4332
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO041558183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist