Provider Demographics
NPI:1598191421
Name:STOGDALE, ALLISON MARIE (RPH)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:MARIE
Last Name:STOGDALE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-3216
Mailing Address - Country:US
Mailing Address - Phone:610-327-0775
Mailing Address - Fax:610-327-2218
Practice Address - Street 1:2200 E HIGH ST
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3216
Practice Address - Country:US
Practice Address - Phone:610-327-0775
Practice Address - Fax:610-327-2218
Is Sole Proprietor?:No
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439978183500000X
PAW44D19611835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist