Provider Demographics
NPI:1548602030
Name:MAY, ALISYN LYNN (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALISYN
Middle Name:LYNN
Last Name:MAY
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 1:565 KOMAS DR.
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84108
Mailing Address - Country:US
Mailing Address - Phone:801-584-5144
Mailing Address - Fax:801-584-5206
Practice Address - Street 1:565 KOMAS DR.
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84108
Practice Address - Country:US
Practice Address - Phone:801-584-5144
Practice Address - Fax:801-584-5206
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14216183500000X
UT8718332-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist