Healthcare Provider Details

I. General information

NPI: 1508536178
Provider Name (Legal Business Name): ALLYSON HOBBS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2021
Last Update Date: 04/06/2023
Certification Date: 04/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8820 ROGERS AVE
FORT SMITH AR
72903-5267
US

IV. Provider business mailing address

8820 ROGERS AVE
FORT SMITH AR
72903-5267
US

V. Phone/Fax

Practice location:
  • Phone: 479-452-0278
  • Fax: 479-452-2587
Mailing address:
  • Phone: 479-452-0278
  • Fax: 479-452-2587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPD15897
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: