Provider Demographics
NPI:1972090918
Name:TINDAL, NONNA D (PHARMACY TECH)
Entity type:Individual
Prefix:
First Name:NONNA
Middle Name:D
Last Name:TINDAL
Suffix:
Gender:F
Credentials:PHARMACY TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4729 S SHADES CREST RD
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35022-4310
Mailing Address - Country:US
Mailing Address - Phone:205-441-1465
Mailing Address - Fax:205-425-2021
Practice Address - Street 1:2910 MORGAN RD STE 1282910
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-6484
Practice Address - Country:US
Practice Address - Phone:205-425-2828
Practice Address - Fax:205-425-2021
Is Sole Proprietor?:No
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALT54487183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALT54487OtherPHARMACY TECHNICIAN