Provider Demographics
NPI:1245640242
Name:OSTRANDER, ALLISON (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:
Last Name:OSTRANDER
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 1:1516 S WABASH AVE
Mailing Address - Street 2:APT 504
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-2903
Mailing Address - Country:US
Mailing Address - Phone:312-298-9831
Mailing Address - Fax:
Practice Address - Street 1:7111 CERMAK RD
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-2145
Practice Address - Country:US
Practice Address - Phone:708-795-3810
Practice Address - Fax:708-795-3865
Is Sole Proprietor?:No
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0512935811835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy