Provider Demographics
NPI:1578858122
Name:MYERS, ALLISON MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:MARIE
Last Name:MYERS
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 1:1808 WILSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-5610
Mailing Address - Country:US
Mailing Address - Phone:310-829-3951
Mailing Address - Fax:310-829-5971
Practice Address - Street 1:1808 WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-5610
Practice Address - Country:US
Practice Address - Phone:310-829-3951
Practice Address - Fax:310-829-5971
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-11
Last Update Date:2011-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64721183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist