Healthcare Provider Details

I. General information

NPI: 1740289743
Provider Name (Legal Business Name): SYBLE MCCLELLAN FARRINGER PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1813 6TH AVE SOUTH M152
BIRMINGHAM AL
35249-0001
US

IV. Provider business mailing address

4736 RED LEAF CIR
HOOVER AL
35226-4212
US

V. Phone/Fax

Practice location:
  • Phone: 205-975-2477
  • Fax: 205-975-6963
Mailing address:
  • Phone: 205-823-8889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number11030
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: