MEDICARE: DR. JENNIFER HARKINS VONBARTHELD PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	14223	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14223	OTHER	AL	AL PHARMACIST LICENSE NUM

General Provider Information

NPI Number	:	1063541480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER HARKINS VONBARTHELD PHARMD

Provider Business Mailing Address
First Line	:	232 OAK FOREST DR
Second Line	:
City	:	PELHAM
State	:	AL
Zip	:	35124-2520
Country	:	US
Telephone Number	:	205-621-9641
Fax Number	:

Provider Business Practice Location Address
First Line	:	2402 OLD SPRINGVILLE RD
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35215-4055
Country	:	US
Telephone Number	:	205-854-8880
Fax Number	:	205-854-8587

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	07/08/2007

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