Provider Demographics
NPI:1336130947
Name:HELLESON, ALISON KAY (RPH CGP)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:KAY
Last Name:HELLESON
Suffix:
Gender:F
Credentials:RPH CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5985 KENSINGTON DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4796
Mailing Address - Country:US
Mailing Address - Phone:214-213-5345
Mailing Address - Fax:972-403-9079
Practice Address - Street 1:5985 KENSINGTON DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4796
Practice Address - Country:US
Practice Address - Phone:214-213-5345
Practice Address - Fax:972-403-9079
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29923183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist