Provider Demographics
NPI:1184913790
Name:BUDNICK, ALLISON (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:
Last Name:BUDNICK
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 1:3292 KENSINGTON RD
Mailing Address - Street 2:
Mailing Address - City:AVONDALE ESTATES
Mailing Address - State:GA
Mailing Address - Zip Code:30002-1651
Mailing Address - Country:US
Mailing Address - Phone:404-294-7085
Mailing Address - Fax:
Practice Address - Street 1:891 PONCE DE LEON AVE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306-4267
Practice Address - Country:US
Practice Address - Phone:404-874-0640
Practice Address - Fax:404-892-4361
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA020390183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist