Healthcare Provider Details

I. General information

NPI: 1811038599
Provider Name (Legal Business Name): RENEE MARIE DEHART PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2152 OLD SPRINGVILLE RD
BIRMINGHAM AL
35215-4005
US

IV. Provider business mailing address

SAMFORD UNIVERSITY MCWHORTER SCHOOL OF PHARMACY 800 LAKESHORE DRIVE
BIRMINGHAM AL
35229-0001
US

V. Phone/Fax

Practice location:
  • Phone: 205-838-6000
  • Fax: 205-838-6999
Mailing address:
  • Phone: 205-726-2275
  • Fax: 205-726-2669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number12810
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: