Provider Demographics
NPI:1801124821
Name:KAUFMANN, ALLISON RENEE
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:RENEE
Last Name:KAUFMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 HIGHWAY 46 W
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4737
Mailing Address - Country:US
Mailing Address - Phone:830-626-7142
Mailing Address - Fax:830-626-7152
Practice Address - Street 1:1610 HIGHWAY 46 W
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-4737
Practice Address - Country:US
Practice Address - Phone:830-626-7142
Practice Address - Fax:830-626-7152
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44850183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist