Healthcare Provider Details

I. General information

NPI: 1982917381
Provider Name (Legal Business Name): JENNIFER LORENZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2010
Last Update Date: 07/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S ANN ST
MOBILE AL
36604-2324
US

IV. Provider business mailing address

150 S ANN ST
MOBILE AL
36604-2324
US

V. Phone/Fax

Practice location:
  • Phone: 251-432-6846
  • Fax: 251-438-6889
Mailing address:
  • Phone: 251-432-6846
  • Fax: 251-438-6889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15500
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: