Basic Information
Provider Information
NPI: 1366925083
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COMPTON
FirstName: ALISON
MiddleName: LEE PARKER
NamePrefix:  
NameSuffix:  
Credential: PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12500 US 15 501 N
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275176024
CountryCode: US
TelephoneNumber: 9193579173
FaxNumber:  
Practice Location
Address1: 508 FULTON ST
Address2:  
City: DURHAM
State: NC
PostalCode: 277053875
CountryCode: US
TelephoneNumber: 9192860411
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/09/2018
LastUpdateDate: 09/09/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X27918NCY Pharmacy Service ProvidersPharmacist 

No ID Information.


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