Provider Demographics
NPI:1386058311
Name:POSTAGE, MONICA LEIGH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:LEIGH
Last Name:POSTAGE
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 1:5245 RANGELINE SERVICE ROAD SOUTH
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36619
Mailing Address - Country:US
Mailing Address - Phone:251-666-7977
Mailing Address - Fax:
Practice Address - Street 1:5245 RANGELINE SERVICE ROAD SOUTH
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36619
Practice Address - Country:US
Practice Address - Phone:251-666-7977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17678183500000X
GARPH028714183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL17678OtherPHARMACIST LICENSE NUMBER
GARPH028714OtherGA BOP