Healthcare Provider Details

I. General information

NPI: 1083201735
Provider Name (Legal Business Name): SAEEDA IQBAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2020
Last Update Date: 09/25/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 W VALLEY AVE
HOMEWOOD AL
35209-4821
US

IV. Provider business mailing address

1881 CHASE ROAD
HOOVER AL
35244
US

V. Phone/Fax

Practice location:
  • Phone: 205-942-7503
  • Fax:
Mailing address:
  • Phone: 205-978-7286
  • Fax: 205-987-8250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19894
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: