Provider Demographics
NPI:1295514164
Name:ALLEN, LISA ANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:ANN
Last Name:ALLEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1702 TIMBER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4529
Mailing Address - Country:US
Mailing Address - Phone:832-978-6904
Mailing Address - Fax:401-262-4174
Practice Address - Street 1:10650 W AIRPORT BLVD STE 150
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3066
Practice Address - Country:US
Practice Address - Phone:281-229-3681
Practice Address - Fax:401-262-4174
Is Sole Proprietor?:No
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41305183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist