Provider Demographics
NPI:1609672856
Name:BEHR, ALYSSA J (PHARMD)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:J
Last Name:BEHR
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5118 JOHNSON LN
Mailing Address - Street 2:
Mailing Address - City:CHINCOTEAGUE ISLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23336-3544
Mailing Address - Country:US
Mailing Address - Phone:786-442-4503
Mailing Address - Fax:
Practice Address - Street 1:6300 MADDOX BLVD
Practice Address - Street 2:
Practice Address - City:CHINCOTEAGUE
Practice Address - State:VA
Practice Address - Zip Code:23336-2617
Practice Address - Country:US
Practice Address - Phone:757-336-3115
Practice Address - Fax:757-336-1947
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202222595183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist