MEDICARE: DR. JERRI ANN PULLEY 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	16641	AL

General Provider Information

NPI Number	:	1679986533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JERRI ANN PULLEY PHARMD

Provider Business Mailing Address
First Line	:	2512 ARROW WOOD DR SE
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35803-1339
Country	:	US
Telephone Number	:	615-604-8432
Fax Number	:

Provider Business Practice Location Address
First Line	:	1963 MEMORIAL PKWY SW STE 14
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-5035
Country	:	US
Telephone Number	:	256-265-3800
Fax Number	:

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

Provider Enumeration Date	:	06/09/2014
Last Update Date	:	09/23/2019

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