Provider Demographics
NPI:1639460835
Name:SINCLAIR, ALISON LAURA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:LAURA
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ALISON
Other - Middle Name:LAURA
Other - Last Name:SEFTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 NICOLLET MALL
Mailing Address - Street 2:TPS-1391
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-2542
Mailing Address - Country:US
Mailing Address - Phone:612-696-6968
Mailing Address - Fax:612-696-7072
Practice Address - Street 1:1000 NICOLLET MALL
Practice Address - Street 2:TPS-1391
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-2542
Practice Address - Country:US
Practice Address - Phone:612-696-6968
Practice Address - Fax:612-696-7072
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-22
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16122183500000X
DEA1-0003340183500000X
MN120774183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist