Provider Demographics
NPI:1063541480
Name:VONBARTHELD, JENNIFER HARKINS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:HARKINS
Last Name:VONBARTHELD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 OAK FOREST DR
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-2520
Mailing Address - Country:US
Mailing Address - Phone:205-621-9641
Mailing Address - Fax:
Practice Address - Street 1:2402 OLD SPRINGVILLE RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35215-4055
Practice Address - Country:US
Practice Address - Phone:205-854-8880
Practice Address - Fax:205-854-8587
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14223183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL14223OtherAL PHARMACIST LICENSE NUM