Provider Demographics
NPI:1417589557
Name:FRANKLIN, ALYSSA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 E VALLEY RD STE 103
Mailing Address - Street 2:
Mailing Address - City:BASALT
Mailing Address - State:CO
Mailing Address - Zip Code:81621-8412
Mailing Address - Country:US
Mailing Address - Phone:970-366-6562
Mailing Address - Fax:
Practice Address - Street 1:1460 E VALLEY RD STE 103
Practice Address - Street 2:
Practice Address - City:BASALT
Practice Address - State:CO
Practice Address - Zip Code:81621-8412
Practice Address - Country:US
Practice Address - Phone:970-366-6562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO181251835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy