Provider Demographics
NPI:1609488576
Name:STROUD, ALAINA (PHARMD, MBA)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:
Last Name:STROUD
Suffix:
Gender:F
Credentials:PHARMD, MBA
Other - Prefix:
Other - First Name:ALAINA
Other - Middle Name:
Other - Last Name:VAN DYKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD, MBA
Mailing Address - Street 1:5555 E MOCKINGBIRD LN APT 1610
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5393
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4500 S LANCASTER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7167
Practice Address - Country:US
Practice Address - Phone:214-857-0556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS20966183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist