Provider Demographics
NPI:1356069280
Name:STOMSKI, ALYSON HOULE (PHARMD)
Entity type:Individual
Prefix:
First Name:ALYSON
Middle Name:HOULE
Last Name:STOMSKI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALYSON
Other - Middle Name:MARIE
Other - Last Name:HOULE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:55 WALLEN WAY
Mailing Address - Street 2:
Mailing Address - City:NORTHBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01534-1100
Mailing Address - Country:US
Mailing Address - Phone:774-482-0589
Mailing Address - Fax:
Practice Address - Street 1:158 N MAIN ST
Practice Address - Street 2:
Practice Address - City:UXBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01569-1748
Practice Address - Country:US
Practice Address - Phone:508-278-2487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-17
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH241012183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist