Provider Demographics
NPI:1750907606
Name:DEWEES, ALYSHA (PHARMD)
Entity type:Individual
Prefix:
First Name:ALYSHA
Middle Name:
Last Name:DEWEES
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 1:1512 WYANDOTTE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-4726
Mailing Address - Country:US
Mailing Address - Phone:513-504-6502
Mailing Address - Fax:
Practice Address - Street 1:5400 PEARL RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-1545
Practice Address - Country:US
Practice Address - Phone:440-886-6233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03237036183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist