Basic Information
Provider Information
NPI: 1558656579
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALLBROOKS
FirstName: ALLISON
MiddleName: B
NamePrefix: DR.
NameSuffix:  
Credential: PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 803 INDUSTRIAL BLVD
Address2: TARGET PHARMACY #2360
City: SMYRNA
State: TN
PostalCode: 371676865
CountryCode: US
TelephoneNumber: 6157683018
FaxNumber: 6157683028
Practice Location
Address1: 3171 LEBANON PIKE
Address2: TARGET PHARMACY T-1059
City: NASHVILLE
State: TN
PostalCode: 372142314
CountryCode: US
TelephoneNumber: 6152389915
FaxNumber: 6152389916
Other Information
ProviderEnumerationDate: 06/17/2011
LastUpdateDate: 07/31/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X34336TNY Pharmacy Service ProvidersPharmacist 

No ID Information.


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