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General NPI Number Information
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NPI Number | 1619024874
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Entity Type | Individual
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Provider Name | DELBERT CRAIG MCDANIEL R.PH.
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Gender | Male
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4201 UNIVERSITY BLVD E
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City | TUSCALOOSA
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State | AL
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Zip | 35404-4403
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Country | US
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Telephone | 205-556-3107
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Fax |
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Provider Business Mailing Address
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Address Line | 3204 32ND ST
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City | NORTHPORT
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State | AL
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Zip | 35476-3122
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Country | US
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Telephone | 205-339-3938
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10463
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License Number State | AL
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