Provider Demographics
NPI:1700191749
Name:MCALLISTER, KENYA (PHARMD)
Entity Type:Individual
Prefix:
First Name:KENYA
Middle Name:
Last Name:MCALLISTER
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 1:12A WESTBANK EXPY
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70053-3659
Mailing Address - Country:US
Mailing Address - Phone:504-509-4800
Mailing Address - Fax:504-509-5421
Practice Address - Street 1:12A WESTBANK EXPY
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70053-3659
Practice Address - Country:US
Practice Address - Phone:504-509-5442
Practice Address - Fax:504-509-5421
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-14
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA016849183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist