Healthcare Provider Details

I. General information

NPI: 1871676171
Provider Name (Legal Business Name): PAULA ANNE THOMPSON PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 19TH ST S
BIRMINGHAM AL
35233-1927
US

IV. Provider business mailing address

1213 BERWICK RD
BIRMINGHAM AL
35242-7124
US

V. Phone/Fax

Practice location:
  • Phone: 205-253-5995
  • Fax: 205-726-2669
Mailing address:
  • Phone: 205-253-5995
  • Fax: 205-726-2669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number12848
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: