Healthcare Provider Details

I. General information

NPI: 1699754556
Provider Name (Legal Business Name): PHARMACOTHERAPY CONSULTANT SERVICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5511 HIGHWAY 280 SUITE 301
BIRMINGHAM AL
35242-6585
US

IV. Provider business mailing address

PO BOX 836
HELENA AL
35080-0836
US

V. Phone/Fax

Practice location:
  • Phone: 205-995-8388
  • Fax: 205-995-8897
Mailing address:
  • Phone: 205-995-8388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. JENNIFER DARNELL
Title or Position: PRESIDENT
Credential: RPH
Phone: 205-995-8388