Provider Demographics
NPI:1578600128
Name:ALSOP, JUDITH ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:ANN
Last Name:ALSOP
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 1:1785 HARWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-1206
Mailing Address - Country:US
Mailing Address - Phone:916-285-6518
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF CALIFORNIA DAVIS HEALTH SYSTEM
Practice Address - Street 2:2315 STOCKTON BLVD, HSF ROOM 1024
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817
Practice Address - Country:US
Practice Address - Phone:916-227-1410
Practice Address - Fax:916-227-1414
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28973183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist