Provider Demographics
NPI:1053895987
Name:MCWILSON, ALLEAH JOY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALLEAH
Middle Name:JOY
Last Name:MCWILSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7859 WALNUT HILL LN STE 110
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-5644
Mailing Address - Country:US
Mailing Address - Phone:214-530-9759
Mailing Address - Fax:214-522-4110
Practice Address - Street 1:7859 WALNUT HILL LN STE 110
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-5644
Practice Address - Country:US
Practice Address - Phone:214-530-9759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-17
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03439232183500000X
TX63399183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist