Healthcare Provider Details

I. General information

NPI: 1619056868
Provider Name (Legal Business Name): JANET H DAILEY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 MARSHEUTZ AVE SE
HUNTSVILLE AL
35801-3807
US

IV. Provider business mailing address

212 MARSHEUTZ AVE SE
HUNTSVILLE AL
35801-3807
US

V. Phone/Fax

Practice location:
  • Phone: 256-539-7634
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number9999
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: