Healthcare Provider Details

I. General information

NPI: 1053549089
Provider Name (Legal Business Name): ALLISON MICHELLE PAQUIN LEVINE PHARM.D., BCACP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2009
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 WILLARD AVE
NEWINGTON CT
06111-2631
US

IV. Provider business mailing address

16 CHILTERN ST
FARMINGTON CT
06032-1533
US

V. Phone/Fax

Practice location:
  • Phone: 860-666-6951
  • Fax:
Mailing address:
  • Phone: 617-794-6401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPH232509
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: