MEDICARE: ALISON CORY 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
1	183500000X	Pharmacist	17675	NC

General Provider Information

NPI Number	:	1962708404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON CORY PHARMD

Provider Business Mailing Address
First Line	:	1085 NE GATEWAY CT NE STE 190
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-2407
Country	:	US
Telephone Number	:	704-403-8684
Fax Number	:	704-403-8688

Provider Business Practice Location Address
First Line	:	1085 NE GATEWAY CT NE STE 190
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-2407
Country	:	US
Telephone Number	:	704-403-8684
Fax Number	:	704-403-8688

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2011
Last Update Date	:	04/19/2012

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Directions to “ ALISON CORY PHARMD” Practice Location

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