Healthcare Provider Details

I. General information

NPI: 1982452504
Provider Name (Legal Business Name): HAKEEM MOHAMED DAVIS PHARMACIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2024
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8551 WHITFIELD AVE # ACE
LEEDS AL
35094-7560
US

IV. Provider business mailing address

8551 WHITFIELD AVE
LEEDS AL
35094-7560
US

V. Phone/Fax

Practice location:
  • Phone: 205-362-7811
  • Fax:
Mailing address:
  • Phone: 205-699-0677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24620
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: