Provider Demographics
NPI:1558824615
Name:ALLARD, ALYSSA ANN (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:ANN
Last Name:ALLARD
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:ANN
Other - Last Name:KARBOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, RPH
Mailing Address - Street 1:3 CULLEN HILL RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-1324
Mailing Address - Country:US
Mailing Address - Phone:401-714-7710
Mailing Address - Fax:401-769-2884
Practice Address - Street 1:595 SMITHFIELD RD
Practice Address - Street 2:
Practice Address - City:NORTH SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02896-7226
Practice Address - Country:US
Practice Address - Phone:401-765-6722
Practice Address - Fax:401-769-2884
Is Sole Proprietor?:No
Enumeration Date:2019-04-07
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH236754183500000X
RIRPH05622183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist