Provider Demographics
NPI:1508362807
Name:SHIRER, ALYSON ELLIS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALYSON
Middle Name:ELLIS
Last Name:SHIRER
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 1:10 SCIENCE CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-9344
Mailing Address - Country:US
Mailing Address - Phone:803-935-9693
Mailing Address - Fax:803-935-4564
Practice Address - Street 1:10 SCIENCE CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-9344
Practice Address - Country:US
Practice Address - Phone:803-935-9693
Practice Address - Fax:803-935-4564
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC81831835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy