Provider Demographics
NPI:1124789177
Name:MUNYER, ALYSSA HARKEY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:HARKEY
Last Name:MUNYER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ALYSSA
Other - Middle Name:MEGAN
Other - Last Name:HARKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4427 FALLS LAKE DR SW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-0052
Mailing Address - Country:US
Mailing Address - Phone:704-773-5572
Mailing Address - Fax:
Practice Address - Street 1:236 MARKET ST STE 100
Practice Address - Street 2:
Practice Address - City:LOCUST
Practice Address - State:NC
Practice Address - Zip Code:28097-9439
Practice Address - Country:US
Practice Address - Phone:704-888-3784
Practice Address - Fax:704-781-0026
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28054183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist