Basic Information
| Provider Information | |||||||||
| NPI: | 1508099078 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | EUBANKS | ||||||||
| FirstName: | APRIL | ||||||||
| MiddleName: | HENRY | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | PHARM D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | HENRY | ||||||||
| OtherFirstName: | APRIL | ||||||||
| OtherMiddleName: | RENE | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 7856 WESTSIDE PARK DR | ||||||||
| Address2: | SUITE C | ||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366958541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514450033 | ||||||||
| FaxNumber: | 2516338864 | ||||||||
| Practice Location | |||||||||
| Address1: | 7856 WESTSIDE PARK DR | ||||||||
| Address2: | SUITE C | ||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366958541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514450033 | ||||||||
| FaxNumber: | 2516338864 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2009 | ||||||||
| LastUpdateDate: | 08/31/2009 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | |||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 15014 | AL | Y | Pharmacy Service Providers | Pharmacist | 183500000X | 0000033465 | TN | N | Pharmacy Service Providers | Pharmacist | 183500000X | 037827 | AR | N | Pharmacy Service Providers | Pharmacist | 183500000X | T-010476 | MS | N | Pharmacy Service Providers | Pharmacist |
No ID Information.