Provider Demographics
NPI:1346797099
Name:ALLISON, DONALD (PHARMD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:ALLISON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 PARKMAN RD NW
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44485-2159
Mailing Address - Country:US
Mailing Address - Phone:330-392-7555
Mailing Address - Fax:
Practice Address - Street 1:1560 PARKMAN RD NW
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44485-2159
Practice Address - Country:US
Practice Address - Phone:330-392-7555
Practice Address - Fax:330-373-6297
Is Sole Proprietor?:No
Enumeration Date:2016-09-09
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03135827183500000X
WVRP0009834183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist