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NPI Code Detail

MEDICARE: NATALIE KRISTEN PICKLE PHARMD

MEDICARE: NATALIE KRISTEN PICKLE 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
1183500000XPharmacist21514AL

General Provider Information

NPI Number : 1174134175
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE KRISTEN PICKLE PHARMD
Provider Business Mailing Address
First Line : 8701 HIGHWAY 69 S
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35405-8465
Country : US
Telephone Number : 205-758-1684
Fax Number :
Provider Business Practice Location Address
First Line : 8701 HIGHWAY 69 S
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35405-8465
Country : US
Telephone Number : 205-758-1684
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2020
Last Update Date : 08/12/2020

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