Healthcare Provider Details

I. General information

NPI: 1982511366
Provider Name (Legal Business Name): BETHANY TAYLOR RICHARDSON BRANNAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 GULF SHORES PKWY
GULF SHORES AL
36542-5909
US

IV. Provider business mailing address

441 RALEY FARMS DR
GULF SHORES AL
36542-5897
US

V. Phone/Fax

Practice location:
  • Phone: 251-968-5946
  • Fax: 251-968-5961
Mailing address:
  • Phone: 601-606-4950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24820
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: