Provider Demographics
NPI:1356493985
Name:WILEY, ALLISON N (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:N
Last Name:WILEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13711 CYPRESS POND CIR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5114
Mailing Address - Country:US
Mailing Address - Phone:713-446-8611
Mailing Address - Fax:
Practice Address - Street 1:13711 CYPRESS POND CIR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5114
Practice Address - Country:US
Practice Address - Phone:713-446-8611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36207183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist