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NPI Code Detail

MEDICARE: BOBBY ALLAN PANNELL PHARMD

MEDICARE:   BOBBY ALLAN PANNELL  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
1183500000XPharmacist13604AL

General Provider Information

NPI Number : 1871843987
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOBBY ALLAN PANNELL PHARMD
Provider Business Mailing Address
First Line : 4083 PAXTON PL
Second Line :
City : VESTAVIA
State : AL
Zip : 35242-7475
Country : US
Telephone Number : 205-296-3544
Fax Number :
Provider Business Practice Location Address
First Line : 101 GREEN SPRINGS HWY
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-4903
Country : US
Telephone Number : 205-942-3668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2012
Last Update Date : 09/16/2012

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Directions to “ BOBBY ALLAN PANNELL PHARMD” Practice Location

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