Provider Demographics
NPI:1477167427
Name:SIMSA, ALLISON (PHARM D)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:SIMSA
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 1:2350 N US HIGHWAY 31 N
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-3756
Mailing Address - Country:US
Mailing Address - Phone:231-938-7051
Mailing Address - Fax:231-938-7054
Practice Address - Street 1:2350 N US HIGHWAY 31 N
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-3756
Practice Address - Country:US
Practice Address - Phone:231-938-7051
Practice Address - Fax:231-938-7054
Is Sole Proprietor?:No
Enumeration Date:2020-09-06
Last Update Date:2020-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302041868183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist