Healthcare Provider Details

I. General information

NPI: 1053425306
Provider Name (Legal Business Name): DENNIS MICHAEL MCMILLAN PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 08/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 6TH AVE S THE KIRKLIN CLINIC PHARMACY 2ND FLOOR
BIRMINGHAM AL
35233-2110
US

IV. Provider business mailing address

2000 6TH AVE S THE KIRKLIN CLINIC PHARMACY 2ND FLOOR
BIRMINGHAM AL
35233-2110
US

V. Phone/Fax

Practice location:
  • Phone: 205-801-8732
  • Fax: 205-801-8741
Mailing address:
  • Phone: 205-801-8732
  • Fax: 205-801-8741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7081
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: