Provider Demographics
NPI:1457333627
Name:GAYLOR, ALLYSON (PHARM D)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:
Last Name:GAYLOR
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 JUNEAU AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79416-4151
Mailing Address - Country:US
Mailing Address - Phone:806-535-7993
Mailing Address - Fax:806-743-4209
Practice Address - Street 1:TEXAS TECH SCHOOL OF PHARMACY
Practice Address - Street 2:3601 4TH STREET, MS 8162
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430-0001
Practice Address - Country:US
Practice Address - Phone:806-743-4200
Practice Address - Fax:806-743-4209
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX370731835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy