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NPI Code Detail

MEDICARE: LEAH ELIZABETH HAWTHORNE PHARMD

MEDICARE: LEAH ELIZABETH HAWTHORNE PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist16571AL

General Provider Information

NPI Number : 1396021382
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH ELIZABETH HAWTHORNE PHARMD
Provider Business Mailing Address
First Line : 236 KINGSTON CIR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35211-6983
Country : US
Telephone Number : 205-290-2120
Fax Number :
Provider Business Practice Location Address
First Line : 9325 PARKWAY E
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35215-8303
Country : US
Telephone Number : 205-833-6882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2011
Last Update Date : 10/23/2011

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