Provider Demographics
NPI:1427111822
Name:CARTER, ALLISON B (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:B
Last Name:CARTER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 LITTLEFIELD ST
Mailing Address - Street 2:
Mailing Address - City:JESUP
Mailing Address - State:GA
Mailing Address - Zip Code:31546-3731
Mailing Address - Country:US
Mailing Address - Phone:912-530-6652
Mailing Address - Fax:
Practice Address - Street 1:RR 3 BOX 3145
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:GA
Practice Address - Zip Code:31331-9415
Practice Address - Country:US
Practice Address - Phone:912-832-6194
Practice Address - Fax:912-832-6677
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA021786183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist