MEDICARE: DR. KATRINIA RENEE BELL 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	14531	AL

General Provider Information

NPI Number	:	1942587472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATRINIA RENEE BELL PHARMD

Provider Business Mailing Address
First Line	:	1127 6TH AVE SE
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-4009
Country	:	US
Telephone Number	:	256-355-4495
Fax Number	:	256-355-9971

Provider Business Practice Location Address
First Line	:	1127 6TH AVE SE
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-4009
Country	:	US
Telephone Number	:	256-355-4495
Fax Number	:	256-355-9971

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

Provider Enumeration Date	:	11/11/2011
Last Update Date	:	11/11/2011

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