Healthcare Provider Details

I. General information

NPI: 1699770248
Provider Name (Legal Business Name): ANITA H. PRITCHETT R.PH. FASCP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 SPRINGDALE RD
MOUNT OLIVE AL
35117-3263
US

IV. Provider business mailing address

520 SPRINGDALE RD
MOUNT OLIVE AL
35117-3263
US

V. Phone/Fax

Practice location:
  • Phone: 205-631-3380
  • Fax: 205-631-1116
Mailing address:
  • Phone: 205-631-3380
  • Fax: 205-631-1116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number7418
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: