Healthcare Provider Details

I. General information

NPI: 1174227870
Provider Name (Legal Business Name): HANNAH GIVENS SHELTON PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH ELIZABETH SHELTON

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 03/28/2023
Certification Date: 03/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8420 1ST AVE
LEEDS AL
35094-2150
US

IV. Provider business mailing address

549 FERN CREEK DR
SPRINGVILLE AL
35146-7359
US

V. Phone/Fax

Practice location:
  • Phone: 205-699-5195
  • Fax: 205-699-5818
Mailing address:
  • Phone: 205-965-3573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20956
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: