Provider Demographics
NPI:1306683529
Name:COVERT, ALLISON NICHOLE
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:NICHOLE
Last Name:COVERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 FISHER RD
Mailing Address - Street 2:
Mailing Address - City:YORK HAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:17370-9208
Mailing Address - Country:US
Mailing Address - Phone:717-205-9483
Mailing Address - Fax:
Practice Address - Street 1:65 NEWBERRY PKWY
Practice Address - Street 2:
Practice Address - City:ETTERS
Practice Address - State:PA
Practice Address - Zip Code:17319-8967
Practice Address - Country:US
Practice Address - Phone:717-938-3655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPI126359183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist