Provider Demographics
NPI:1053697433
Name:DERING-ANDERSON, ALLISON MARI (PHARMD, RP)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:MARI
Last Name:DERING-ANDERSON
Suffix:
Gender:F
Credentials:PHARMD, RP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6723 S 44TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5135
Mailing Address - Country:US
Mailing Address - Phone:402-432-2080
Mailing Address - Fax:
Practice Address - Street 1:7045 O ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2426
Practice Address - Country:US
Practice Address - Phone:402-484-8222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-29
Last Update Date:2011-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9986183500000X
IAD16789183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist