Provider Demographics
NPI:1447066519
Name:MCKEONE, ALLISON (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:MCKEONE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:KOPISCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6906 N 63RD ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68152-2239
Mailing Address - Country:US
Mailing Address - Phone:402-317-4350
Mailing Address - Fax:
Practice Address - Street 1:10504 S 15TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68123-4084
Practice Address - Country:US
Practice Address - Phone:402-292-0463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE18466183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist