Healthcare Provider Details

I. General information

NPI: 1184543928
Provider Name (Legal Business Name): OLIVIA CLIFTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 W GRAND AVE
RAINBOW CITY AL
35906-3238
US

IV. Provider business mailing address

4406 LISTER FERRY RD
RAINBOW CITY AL
35906-6325
US

V. Phone/Fax

Practice location:
  • Phone: 256-295-8308
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberS14425
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: