1356594030 NPI number — MRS. ALICE MARY FRANCIS LAWSON RPH

Table of content: MRS. ALICE MARY FRANCIS LAWSON RPH (NPI 1356594030)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356594030 NPI number — MRS. ALICE MARY FRANCIS LAWSON RPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAWSON
Provider First Name:
ALICE
Provider Middle Name:
MARY FRANCIS
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356594030
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/28/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2834 ROUTE 17M
Provider Second Line Business Mailing Address:
MID HUDSON FORENSIC PSYCHIATRIC CTR PHARMACY
Provider Business Mailing Address City Name:
NEW HAMPTON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10958-5011
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-374-8700
Provider Business Mailing Address Fax Number:
845-374-3588

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2834 ROUTE 17M
Provider Second Line Business Practice Location Address:
MID HUDSON FORENSIC PSYCHIATRIC CTR PHARMACY
Provider Business Practice Location Address City Name:
NEW HAMPTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10958-5011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-374-8700
Provider Business Practice Location Address Fax Number:
845-374-3588
Provider Enumeration Date:
10/28/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  041657-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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