MEDICARE: ANITA H. PRITCHETT R.PH. FASCP

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	1835P1200X	Pharmacotherapy Pharmacist	7418	AL

General Provider Information

NPI Number	:	1699770248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITA H. PRITCHETT R.PH. FASCP

Provider Business Mailing Address
First Line	:	520 SPRINGDALE RD
Second Line	:
City	:	MOUNT OLIVE
State	:	AL
Zip	:	35117-3263
Country	:	US
Telephone Number	:	205-631-3380
Fax Number	:	205-631-1116

Provider Business Practice Location Address
First Line	:	520 SPRINGDALE RD
Second Line	:
City	:	MOUNT OLIVE
State	:	AL
Zip	:	35117-3263
Country	:	US
Telephone Number	:	205-631-3380
Fax Number	:	205-631-1116

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	07/08/2007

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