Adrienne Brentzel Allen, PHARM.D.
Individual provider Active NPI Pharmacotherapy Pharmacist · Fort Stewart, GA
NPI 1053563841 · NPPES record last updated Apr 9, 2015
Key facts
- NPI
- 1053563841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacotherapy Pharmacist 1835P1200X
- License
- 16466 (LA)
- Practice address
- 1061 Harmon Ave
Fort Stewart, GA 31314-5754 - Phone
- (912) 435-6965
- NPI assigned
- Oct 13, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16466 | LA | MD | Pharmacotherapy Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 16466 | LA | Yes |
Addresses
Primary practice location
1061 Harmon Ave
Fort Stewart, GA 31314-5754
Mailing address
1061 Harmon Ave
Fort Stewart, GA 31314-5754
Phone (912) 435-6965
Other providers in Fort Stewart, GA
- Charity Omejiyovbi Akpolo
- Julie Albert
- Edward Alcazar-Lopez
- Ralinson Alcius
- Marie Alexandra Alexander
- Elizabeth Sue Allen
- Ian M Allen
- Jacqueline Danielle Allen
- Kathleen Shea Allen
- Natalie Y Allen
All providers in Fort Stewart, GA · Pharmacotherapy Pharmacist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.