Alicia A Dawson, RPH
Individual provider Active NPI Pharmacist · MC Dowell, KY
NPI 1770696296 · NPPES record last updated Sep 29, 2017
Key facts
- NPI
- 1770696296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 10414 (KY)
- Practice address
- 9575 Ky RT 122
Suite 5
MC Dowell, KY 41647 - Phone
- (606) 377-2006
- Fax
- (606) 377-2626
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10414 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harold Primary Care Clinic Pharmacy LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10414 | KY | Yes |
Addresses
Primary practice location
9575 Ky RT 122
Suite 5
MC Dowell, KY 41647
Mailing address
PO Box 700
MC Dowell, KY 41647-0700
Phone (606) 377-1088
Other providers in MC Dowell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2017. 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.