Healthcare Provider Details

I. General information

NPI: 1457511222
Provider Name (Legal Business Name): JODI DANSBY SEARCY PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2008
Last Update Date: 11/20/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PROFESSIONAL LN
ENTERPRISE AL
36330-2393
US

IV. Provider business mailing address

607A BOLL WEEVIL CIR # 607
ENTERPRISE AL
36330-2733
US

V. Phone/Fax

Practice location:
  • Phone: 334-348-2900
  • Fax: 334-348-9003
Mailing address:
  • Phone: 334-347-4242
  • Fax: 344-170-3383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14285
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: