Provider Demographics
NPI:1801846720
Name:WAMBLE, ALLYSON A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALLYSON
Middle Name:A
Last Name:WAMBLE
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 1:1324 CHARING CROSS CIR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-5340
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:615-791-7666
Practice Address - Street 1:124 1ST AVE S
Practice Address - Street 2:SUITE 101
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-6322
Practice Address - Country:US
Practice Address - Phone:615-791-8679
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10478183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist