Healthcare Provider Details

I. General information

NPI: 1558284778
Provider Name (Legal Business Name): ALAINA NICOLE MITCHELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6219 TATTERSALL BLVD
HOOVER AL
35242-4280
US

IV. Provider business mailing address

3090 HIGHWAY 280 E APT 1411
VESTAVIA AL
35243-2716
US

V. Phone/Fax

Practice location:
  • Phone: 205-778-5380
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24803
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: