Provider Demographics
NPI:1659034049
Name:EVANS, ALLISON ELIZABETH (PHARMD, MBA, RPH)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:ELIZABETH
Last Name:EVANS
Suffix:
Gender:F
Credentials:PHARMD, MBA, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9406 KNIGHTS BRIDGE BLVD APT D
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-4468
Mailing Address - Country:US
Mailing Address - Phone:419-460-2686
Mailing Address - Fax:
Practice Address - Street 1:14800 HAZEL DELL XING
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062-6982
Practice Address - Country:US
Practice Address - Phone:317-844-1185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26029424A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist