Healthcare Provider Details

I. General information

NPI: 1871812685
Provider Name (Legal Business Name): ROBIN MICHELLE HULLETT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2010
Last Update Date: 12/17/2022
Certification Date: 12/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

879 HIGHWAY 78
SUMITON AL
35148-3416
US

IV. Provider business mailing address

879 HIGHWAY 78
SUMITON AL
35148-3416
US

V. Phone/Fax

Practice location:
  • Phone: 205-648-8420
  • Fax: 205-648-4254
Mailing address:
  • Phone: 205-648-8420
  • Fax: 205-648-4254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14222
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: