Provider Demographics
NPI:1225445109
Name:HOLLINGSWORTH, ALISON LYNN (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:LYNN
Last Name:HOLLINGSWORTH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:LYNN
Other - Last Name:BUSSINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1910 WEST 21ST STREET NORTH
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203
Mailing Address - Country:US
Mailing Address - Phone:316-838-5908
Mailing Address - Fax:316-838-7239
Practice Address - Street 1:1910 WEST 21ST STREET NORTH
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203
Practice Address - Country:US
Practice Address - Phone:316-838-5908
Practice Address - Fax:316-838-7239
Is Sole Proprietor?:No
Enumeration Date:2014-07-12
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-13857183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist