Provider Demographics
NPI:1639696537
Name:NICHOLSON, ALLISON RAINES (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:RAINES
Last Name:NICHOLSON
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 1:720 S CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-3942
Mailing Address - Country:US
Mailing Address - Phone:828-245-7274
Mailing Address - Fax:828-248-1216
Practice Address - Street 1:720 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-3942
Practice Address - Country:US
Practice Address - Phone:828-245-7274
Practice Address - Fax:828-248-1216
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27244183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist