Provider Demographics
NPI:1073736336
Name:SANCHEZ, ALISON KATHLEEN (PHARMD)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:KATHLEEN
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 NE 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-1638
Mailing Address - Country:US
Mailing Address - Phone:360-834-6550
Mailing Address - Fax:
Practice Address - Street 1:800 NE 3RD AVE
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-1638
Practice Address - Country:US
Practice Address - Phone:360-834-6550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA70177183500000X
OR11429183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist