Healthcare Provider Details

I. General information

NPI: 1326030313
Provider Name (Legal Business Name): RHONDA MARABLE HARDEN PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/17/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2406 RHONDA AVE
TUSKEGEE AL
36083-2973
US

IV. Provider business mailing address

2406 RHONDA AVE
TUSKEGEE AL
36083-2973
US

V. Phone/Fax

Practice location:
  • Phone: 334-727-1277
  • Fax:
Mailing address:
  • Phone: 334-727-1277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12513
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: