Provider Demographics
NPI:1982205092
Name:DENMAN, ALYSSA ROSE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:ROSE
Last Name:DENMAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 STONEYBROOK LN
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-6149
Mailing Address - Country:US
Mailing Address - Phone:901-831-6407
Mailing Address - Fax:
Practice Address - Street 1:1330 W BEEBE CAPPS EXPY
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-5177
Practice Address - Country:US
Practice Address - Phone:501-203-2013
Practice Address - Fax:501-203-2014
Is Sole Proprietor?:No
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD12809183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist