Healthcare Provider Details

I. General information

NPI: 1669760559
Provider Name (Legal Business Name): AMY M STRICKLAND R.PH. (B.S.)
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2011
Last Update Date: 07/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 MAGNOLIA ST S
LINCOLN AL
35096-6102
US

IV. Provider business mailing address

99 MAGNOLIA ST S P.O. BOX 200
LINCOLN AL
35096-6102
US

V. Phone/Fax

Practice location:
  • Phone: 205-763-7759
  • Fax: 205-763-2131
Mailing address:
  • Phone: 205-763-7759
  • Fax: 205-763-2131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12777
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS30252
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: