Tina Herron, RPH

Individual provider Active NPI Ambulatory Care Pharmacist · Cordova, AL

NPI 1306367057 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1306367057
Entity type
Individual (NPI type 1)
Primary specialty
Ambulatory Care Pharmacist 1835P2201X
License
12039 (AL)
Practice address
430 School St
Cordova, AL 35550-6000
Phone
(205) 483-7811
Fax
(205) 483-7821
NPI assigned
Jul 3, 2017
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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
12039ALMDAmbulatory Care Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 12039 AL Yes

Addresses

Primary practice location

430 School St
Cordova, AL 35550-6000

Mailing address

430 School St
Cordova, AL 35550-6000
Phone (205) 483-7811

Other providers in Cordova, AL

All providers in Cordova, AL · Ambulatory Care Pharmacist in Alabama

Sources for this page

Verify at the official NPI Registry.