MEDICARE: HEALTH STRIDES, INC.

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	3336C0004X	Compounding Pharmacy	112116	AL
2	3336S0011X	Specialty Pharmacy	112116	AL
3	3336C0003X	Community/Retail Pharmacy	112116	AL
4	333600000X	Pharmacy	112116	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881693653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH STRIDES, INC.

Provider Business Mailing Address
First Line	:	4268 CAHABA HEIGHTS CT
Second Line	:	SUITE 103
City	:	VESTAVIA
State	:	AL
Zip	:	35243-5711
Country	:	US
Telephone Number	:	205-824-0775
Fax Number	:	205-313-5791

Provider Business Practice Location Address
First Line	:	4268 CAHABA HEIGHTS CT
Second Line	:	SUITE 103
City	:	VESTAVIA
State	:	AL
Zip	:	35243-5711
Country	:	US
Telephone Number	:	205-824-0775
Fax Number	:	205-313-5791

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LEA MARIE WOLSONCROFT
Credential	:	RPH
Telephone Number	:	205-824-0775

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	03/16/2017

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Directions to “HEALTH STRIDES, INC. ” Practice Location

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