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NPI Code Detail

MEDICARE: ALYSSA S HERROD PHARMD

MEDICARE: ALYSSA S HERROD PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramIN.0002009475CO

General Provider Information

NPI Number : 1215868427
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA S HERROD PHARMD
Provider Business Mailing Address
First Line : 5901 PIERCE ST APT 303
Second Line :
City : ARVADA
State : CO
Zip : 80003-5525
Country : US
Telephone Number : 206-762-1010
Fax Number :
Provider Business Practice Location Address
First Line : 1660 S COLUMBIAN WAY
Second Line :
City : SEATTLE
State : WA
Zip : 98108-1532
Country : US
Telephone Number : 206-762-1010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ ALYSSA S HERROD PHARMD” Practice Location

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