Healthcare Provider Details

I. General information

NPI: 1770925331
Provider Name (Legal Business Name): RACHEL BUMPUS PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2013
Last Update Date: 07/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 DOUG BAKER BLVD
BIRMINGHAM AL
35242-2675
US

IV. Provider business mailing address

101 DOUG BAKER BLVD
BIRMINGHAM AL
35242-2675
US

V. Phone/Fax

Practice location:
  • Phone: 205-437-9467
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17382
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: