Healthcare Provider Details

I. General information

NPI: 1497961502
Provider Name (Legal Business Name): HELENE TAYLOR KNIGHT FRIEND PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6727 HIGHWAY 431 S SUITE M
OWENS CROSS ROADS AL
35763-9225
US

IV. Provider business mailing address

124 ROBIN LN SE
HUNTSVILLE AL
35802-1002
US

V. Phone/Fax

Practice location:
  • Phone: 256-425-0054
  • Fax: 256-425-0057
Mailing address:
  • Phone: 256-489-9458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14777
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202205735
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: