Provider Demographics
NPI:1699754556
Name:PHARMACOTHERAPY CONSULTANT SERVICE, LLC
Entity type:Organization
Organization Name:PHARMACOTHERAPY CONSULTANT SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:205-995-8388
Mailing Address - Street 1:PO BOX 836
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-0836
Mailing Address - Country:US
Mailing Address - Phone:205-995-8388
Mailing Address - Fax:
Practice Address - Street 1:5511 HIGHWAY 280
Practice Address - Street 2:SUITE 301
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-6585
Practice Address - Country:US
Practice Address - Phone:205-995-8388
Practice Address - Fax:205-995-8897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL10017OtherPHARMACIST LISCENSE