Provider Demographics
NPI:1659971687
Name:D'ALMEIDA, ALICE SENYEFA (RPH)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:SENYEFA
Last Name:D'ALMEIDA
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 1:3245 CITATION AVE NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-7308
Mailing Address - Country:US
Mailing Address - Phone:316-516-8750
Mailing Address - Fax:
Practice Address - Street 1:3826 COBB PKWY NW
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-4022
Practice Address - Country:US
Practice Address - Phone:770-966-1366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-15356183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist