Healthcare Provider Details

I. General information

NPI: 1538387766
Provider Name (Legal Business Name): ALISON LYNN LOBICK PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 PHILADELPHIA AVENUE
NORTHERN CAMBRIA PA
15714
US

IV. Provider business mailing address

609 LEMON DROP RD
EBENSBURG PA
15931-6014
US

V. Phone/Fax

Practice location:
  • Phone: 814-948-6012
  • Fax:
Mailing address:
  • Phone: 814-344-8638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP045822L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: