Provider Demographics
NPI:1386993269
Name:TERNES, ALLISON JOY (RPH)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:JOY
Last Name:TERNES
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 1:323 5TH ST NE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DEVILS LAKE
Mailing Address - State:ND
Mailing Address - Zip Code:58301-2476
Mailing Address - Country:US
Mailing Address - Phone:701-662-3022
Mailing Address - Fax:701-662-2042
Practice Address - Street 1:323 5TH ST NE
Practice Address - Street 2:SUITE 2
Practice Address - City:DEVILS LAKE
Practice Address - State:ND
Practice Address - Zip Code:58301-2476
Practice Address - Country:US
Practice Address - Phone:701-662-3022
Practice Address - Fax:701-662-2042
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4477183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist