Provider Demographics
NPI:1194297887
Name:SCHANAFELT, ALICIA (RPH)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:SCHANAFELT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 SOUGAHATCHEE DR
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:AL
Mailing Address - Zip Code:35761-7827
Mailing Address - Country:US
Mailing Address - Phone:254-295-3251
Mailing Address - Fax:
Practice Address - Street 1:12290 HIGHWAY 231 431 N
Practice Address - Street 2:
Practice Address - City:MERIDIANVILLE
Practice Address - State:AL
Practice Address - Zip Code:35759-1200
Practice Address - Country:US
Practice Address - Phone:256-828-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-19
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20677183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist