Healthcare Provider Details

I. General information

NPI: 1043412034
Provider Name (Legal Business Name): PAUL JOSEPH ALBANO SR. P.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4204 EDMONTON DR
BESSEMER AL
35022-4878
US

IV. Provider business mailing address

300 HIGHLAND VIEW DR
BIRMINGHAM AL
35242-6811
US

V. Phone/Fax

Practice location:
  • Phone: 205-425-1200
  • Fax: 205-991-6611
Mailing address:
  • Phone: 205-835-7667
  • Fax: 205-991-6611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6779
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: