Provider Demographics
NPI:1447739420
Name:BURKE, ALLISON VERONICA (PHARMD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:VERONICA
Last Name:BURKE
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 1:60 FLINT ST APT 4
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2258
Mailing Address - Country:US
Mailing Address - Phone:303-408-7678
Mailing Address - Fax:
Practice Address - Street 1:841 MERRIMON AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-2404
Practice Address - Country:US
Practice Address - Phone:828-225-5113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist