Healthcare Provider Details

I. General information

NPI: 1861326191
Provider Name (Legal Business Name): AUBREY PHILLIPS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: AJ PHILLIPS

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 GADSDEN HWY
BIRMINGHAM AL
35235-1006
US

IV. Provider business mailing address

220 GADSDEN HWY
BIRMINGHAM AL
35235-1006
US

V. Phone/Fax

Practice location:
  • Phone: 205-836-8344
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24610
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: