Provider Demographics
NPI:1962708404
Name:CORY, ALISON (PHARMD)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:CORY
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 1:1085 NE GATEWAY CT NE STE 190
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-2407
Mailing Address - Country:US
Mailing Address - Phone:704-403-8684
Mailing Address - Fax:704-403-8688
Practice Address - Street 1:1085 NE GATEWAY CT NE STE 190
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2407
Practice Address - Country:US
Practice Address - Phone:704-403-8684
Practice Address - Fax:704-403-8688
Is Sole Proprietor?:No
Enumeration Date:2011-02-01
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17675183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist