Basic Information
| Provider Information | |||||||||
| NPI: | 1598059834 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DUGAN | ||||||||
| FirstName: | BYRDENA | ||||||||
| MiddleName: | DEEANN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHARM.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 800 LAKESHORE DR | ||||||||
| Address2: | MCWHORTER SCHOOL OF PHARMACY | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352290001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2057262635 | ||||||||
| FaxNumber: | 2057262669 | ||||||||
| Practice Location | |||||||||
| Address1: | 800 LAKESHORE DR | ||||||||
| Address2: | MCWHORTER SCHOOL OF PHARMACY | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352290001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2057262635 | ||||||||
| FaxNumber: | 2057262669 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/03/2011 | ||||||||
| LastUpdateDate: | 06/03/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P0018X | 15974 | AL | Y | Pharmacy Service Providers | Pharmacist | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
No ID Information.