Provider Demographics
NPI:1881390458
Name:ALLEYNE, KARINE (PHARMD)
Entity type:Individual
Prefix:
First Name:KARINE
Middle Name:
Last Name:ALLEYNE
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 1:145 MORNING SPRINGS WALK
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-2664
Mailing Address - Country:US
Mailing Address - Phone:678-478-5506
Mailing Address - Fax:
Practice Address - Street 1:1221 NEWBERG AVE
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31206-3011
Practice Address - Country:US
Practice Address - Phone:478-788-5600
Practice Address - Fax:478-788-5660
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0177251835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist