Provider Demographics
NPI:1316523160
Name:MULLINS, ALISON (RPH)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:
Last Name:MULLINS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3134 SUMMER DR
Mailing Address - Street 2:
Mailing Address - City:CULLODEN
Mailing Address - State:WV
Mailing Address - Zip Code:25510-9434
Mailing Address - Country:US
Mailing Address - Phone:304-638-0871
Mailing Address - Fax:
Practice Address - Street 1:3 MALL RD
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-1822
Practice Address - Country:US
Practice Address - Phone:304-736-2451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0006054183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist