Provider Demographics
NPI:1205153111
Name:RILEY, ALLISON ELLEN (PHARM D)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:ELLEN
Last Name:RILEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-1632
Mailing Address - Country:US
Mailing Address - Phone:412-264-0810
Mailing Address - Fax:412-264-6985
Practice Address - Street 1:412 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-1632
Practice Address - Country:US
Practice Address - Phone:412-264-0810
Practice Address - Fax:412-264-6985
Is Sole Proprietor?:No
Enumeration Date:2010-05-02
Last Update Date:2010-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP046194183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist