Basic Information
| Provider Information | |||||||||
| NPI: | 1811038599 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DEHART | ||||||||
| FirstName: | RENEE | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | PHARM.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | SAMFORD UNIVERSITY MCWHORTER SCHOOL OF PHARMACY | ||||||||
| Address2: | 800 LAKESHORE DRIVE | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352290001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2057262275 | ||||||||
| FaxNumber: | 2057262669 | ||||||||
| Practice Location | |||||||||
| Address1: | 2152 OLD SPRINGVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352154005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2058386000 | ||||||||
| FaxNumber: | 2058386999 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/08/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P1200X | 12810 | AL | Y | Pharmacy Service Providers | Pharmacist | Pharmacotherapy |
No ID Information.