David F Klasing, RPH
Individual provider Active NPI Pharmacist · Montevallo, AL
NPI 1447569306 · NPPES record last updated Sep 27, 2010
Key facts
- NPI
- 1447569306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 12433 (AL)
- Practice address
- 4559 Highway 25
Montevallo, AL 35115-4260 - Phone
- (205) 665-5106
- NPI assigned
- Sep 27, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12433 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freds Stores of Tennessee Inc | Past | Accepting new patients | |
| Freds Stores of Tennessee Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12433 | AL | Yes |
Addresses
Primary practice location
4559 Highway 25
Montevallo, AL 35115-4260
Mailing address
318 County Road 849
Calera, AL 35040-2826
Phone (205) 668-7739
Other providers in Montevallo, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2010. 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.