Provider Demographics
NPI:1124277447
Name:POLLOCK, ALLISON MILLER (PHARMD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MILLER
Last Name:POLLOCK
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 1:505 PARNASSUS AVE # M-39C
Mailing Address - Street 2:BOX 0622
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2204
Mailing Address - Country:US
Mailing Address - Phone:415-353-1038
Mailing Address - Fax:415-353-8541
Practice Address - Street 1:505 PARNASSUS AVE # M-39C
Practice Address - Street 2:BOX 0622
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2204
Practice Address - Country:US
Practice Address - Phone:415-353-1038
Practice Address - Fax:415-353-8541
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61074183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist