Tressa B Aholt, PHARMD
Individual provider Active NPI Pharmacist · Salisbury, MO
NPI 1669728846 · NPPES record last updated Jul 25, 2012
Key facts
- NPI
- 1669728846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2012024140 (MO)
- Practice address
- 227 S Broadway
Salisbury, MO 65281-1035 - Phone
- (660) 388-5221
- NPI assigned
- Jul 25, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012024140 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2012024140 | MO | Yes |
Addresses
Primary practice location
227 S Broadway
Salisbury, MO 65281-1035
Mailing address
227 S Broadway
Salisbury, MO 65281-1035
Other providers in Salisbury, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.