Provider Demographics
NPI:1942822119
Name:MEI, ALLYSON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALLYSON
Middle Name:
Last Name:MEI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALLYSON
Other - Middle Name:
Other - Last Name:TROSSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4140 COUNTY ROAD 101 N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-2308
Mailing Address - Country:US
Mailing Address - Phone:763-478-4612
Mailing Address - Fax:
Practice Address - Street 1:4140 COUNTY ROAD 101 N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446-2308
Practice Address - Country:US
Practice Address - Phone:763-478-4612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-11
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN123522183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist