Provider Demographics
NPI:1104577212
Name:HAMOY, ALLISON ANNE (PHARMD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:ANNE
Last Name:HAMOY
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 1:6554 QUINTON LN
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2834
Mailing Address - Country:US
Mailing Address - Phone:818-636-6819
Mailing Address - Fax:
Practice Address - Street 1:1340 E WILSON AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4632
Practice Address - Country:US
Practice Address - Phone:818-245-8222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-11
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH85464183500000X
CA85464183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist