Provider Demographics
NPI:1548984370
Name:VISBEEK, ALLISON CHRISTINE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:CHRISTINE
Last Name:VISBEEK
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 1:7 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:MA
Mailing Address - Zip Code:01516-2575
Mailing Address - Country:US
Mailing Address - Phone:508-254-8830
Mailing Address - Fax:
Practice Address - Street 1:399 MAIN ST
Practice Address - Street 2:
Practice Address - City:SOUTHBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01550-3728
Practice Address - Country:US
Practice Address - Phone:508-765-0646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH239797183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist