Provider Demographics
NPI:1568535755
Name:PORTER, ALISON JENNIFER (PHARMD,RPH)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:JENNIFER
Last Name:PORTER
Suffix:
Gender:F
Credentials:PHARMD,RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1572 N DUPONT HWY
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-2215
Mailing Address - Country:US
Mailing Address - Phone:302-678-2161
Mailing Address - Fax:302-678-2161
Practice Address - Street 1:1572 N DUPONT HWY
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-2215
Practice Address - Country:US
Practice Address - Phone:302-678-2161
Practice Address - Fax:302-678-2161
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003157183500000X
MD14930183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist