Provider Demographics
NPI:1063551927
Name:RADWICK, ALLISON ELIZABETH (BS, PHD, RPH)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:ELIZABETH
Last Name:RADWICK
Suffix:
Gender:F
Credentials:BS, PHD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 SARAHS WAY
Mailing Address - Street 2:
Mailing Address - City:EAST FALLOWFIELD TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:19320-5610
Mailing Address - Country:US
Mailing Address - Phone:610-384-1267
Mailing Address - Fax:
Practice Address - Street 1:OMEGA DRIVE
Practice Address - Street 2:BUILDING C SUITE 78
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713
Practice Address - Country:US
Practice Address - Phone:302-368-2882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8056183500000X
PARP039890L183500000X
DEPENDING183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist