Healthcare Provider Details

I. General information

NPI: 1952626152
Provider Name (Legal Business Name): AMANDA FAYE PARSONS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2010
Last Update Date: 03/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28891 HIGHWAY 5
WOODSTOCK AL
35188-3614
US

IV. Provider business mailing address

12525 TEDDY DR
MC CALLA AL
35111-1509
US

V. Phone/Fax

Practice location:
  • Phone: 205-938-9221
  • Fax: 205-938-9290
Mailing address:
  • Phone: 205-477-3449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16207
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: