Provider Demographics
NPI:1982595393
Name:THORMAN, ALLISON (RPH)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:THORMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:TENNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:505 W YELLOW WOOD DR
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29680-3525
Mailing Address - Country:US
Mailing Address - Phone:330-247-8010
Mailing Address - Fax:
Practice Address - Street 1:2700 WOODRUFF RD
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-4804
Practice Address - Country:US
Practice Address - Phone:864-234-3866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC60657183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist