=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043800659
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LANEY M SAVAGE PHARMACIST
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/19/2021
-----------------------------------------------------
Last Update Date | 01/19/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5400 HIGHWAY 280
-----------------------------------------------------
City | HOOVER
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35242-6508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-980-7670
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1014 APPLEFORD CIR
-----------------------------------------------------
City | HELENA
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35080-6809
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-643-0221
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 15830
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------