Provider Demographics
NPI:1275038754
Name:FRIEL, ALLYSON MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:MARIE
Last Name:FRIEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALLYSON
Other - Middle Name:MARIE
Other - Last Name:CORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:399 E BARONAGE DR
Mailing Address - Street 2:
Mailing Address - City:BLAIR
Mailing Address - State:NE
Mailing Address - Zip Code:68008-1278
Mailing Address - Country:US
Mailing Address - Phone:712-259-3917
Mailing Address - Fax:
Practice Address - Street 1:225 SOUTH BLUFF ST
Practice Address - Street 2:
Practice Address - City:WINNEBAGO
Practice Address - State:NE
Practice Address - Zip Code:68071-0767
Practice Address - Country:US
Practice Address - Phone:402-878-3692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE153271835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist