Provider Demographics
NPI:1518911056
Name:LAUWERS, ALLYSON J (PHARM-D, RPH)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:J
Last Name:LAUWERS
Suffix:
Gender:F
Credentials:PHARM-D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7206 E LINDNER AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-4988
Mailing Address - Country:US
Mailing Address - Phone:480-654-8851
Mailing Address - Fax:
Practice Address - Street 1:8335 E GUADALUPE RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85212-9630
Practice Address - Country:US
Practice Address - Phone:480-357-9583
Practice Address - Fax:480-357-9781
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14911183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist