Provider Demographics
NPI:1104946185
Name:KINGSTON, ALISON LEA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:LEA
Last Name:KINGSTON
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 1:6715 S 117TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-5725
Mailing Address - Country:US
Mailing Address - Phone:402-597-0313
Mailing Address - Fax:
Practice Address - Street 1:10808 FORT ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-2076
Practice Address - Country:US
Practice Address - Phone:402-493-2323
Practice Address - Fax:402-965-9694
Is Sole Proprietor?:No
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11483183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist