Provider Demographics
NPI:1679026058
Name:MEYER, ALYSON ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:ELIZABETH
Last Name:MEYER
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 1:12000 RETAIL DR
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-7353
Mailing Address - Country:US
Mailing Address - Phone:919-761-1002
Mailing Address - Fax:
Practice Address - Street 1:12000 RETAIL DR
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-7353
Practice Address - Country:US
Practice Address - Phone:919-761-1002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25989183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist