Provider Demographics
NPI:1881977189
Name:SHIRLEY, ALISON LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:LYNN
Last Name:SHIRLEY
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 1:101 BLAKENROD BLVD
Mailing Address - Street 2:
Mailing Address - City:COXS CREEK
Mailing Address - State:KY
Mailing Address - Zip Code:40013-6561
Mailing Address - Country:US
Mailing Address - Phone:502-348-8338
Mailing Address - Fax:502-348-8114
Practice Address - Street 1:101 BLAKENROD BLVD
Practice Address - Street 2:
Practice Address - City:COXS CREEK
Practice Address - State:KY
Practice Address - Zip Code:40013-6561
Practice Address - Country:US
Practice Address - Phone:502-348-8338
Practice Address - Fax:502-348-8114
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY012639183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist