Alyssa Proctor, PHARMD, BCACP

Pharmacist · Tyler, TX

Individual Active NPI

NPI number 1184009565

Practice location

520 Douglas Blvd
Tyler, TX 75702-8307
Phone
(903) 606-8878

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NPI record

NPI
1184009565
Entity type
Individual (Type 1)
Enumeration date
July 27, 2015
Last updated
June 15, 2021
Certified
August 26, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 56628 TX
Pharmacist 183500000X PD12814 AR

Mailing address

520 East Douglas Blvd
Tyler, TX 75702

About Dr. Proctor

Alyssa Proctor, PHARMD, BCACP is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 520 Douglas Blvd, Tyler, TX 75702-8307. The NPI number 1184009565 was assigned on July 27, 2015 and the record was last updated on June 15, 2021.

Dr. Proctor lists 2 licenses in the registry: #56628 (TX) for Pharmacist; #PD12814 (AR) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alyssa Proctor, PHARMD, BCACP?

The NPI number is 1184009565.

What is the phone number of Dr. Proctor?

The phone number listed for the practice location is (903) 606-8878.

Where is Dr. Proctor located?

520 Douglas Blvd, Tyler, TX 75702-8307.

What is the taxonomy code for Dr. Proctor?

The primary taxonomy code is 183500000X – Pharmacist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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