Provider Demographics
NPI:1528178894
Name:JOHNSON, ALLISON LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:LYNN
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ALLISON
Other - Middle Name:LYNN
Other - Last Name:STANLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:514 MONTGOMERY DR
Mailing Address - Street 2:
Mailing Address - City:RUTHER GLEN
Mailing Address - State:VA
Mailing Address - Zip Code:22546-1138
Mailing Address - Country:US
Mailing Address - Phone:540-273-3559
Mailing Address - Fax:540-370-4468
Practice Address - Street 1:1965 JEFFERSON DAVIS HWY STE 100
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-6213
Practice Address - Country:US
Practice Address - Phone:540-370-4468
Practice Address - Fax:540-370-4048
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022048441835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy