Healthcare Provider Details

I. General information

NPI: 1093995367
Provider Name (Legal Business Name): ALISON MARIE NEY PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 04/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436TH MEDICAL GROUP 300 TUSKEGEE ST. BLDG 300
DOVER AFB DE
19962-5300
US

IV. Provider business mailing address

283 QUAKER HILL RD
MAGNOLIA DE
19962-2225
US

V. Phone/Fax

Practice location:
  • Phone: 302-677-2548
  • Fax:
Mailing address:
  • Phone: 570-294-3181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-0005211
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: