Provider Demographics
NPI:1992890834
Name:COVINGTON, TIMOTHY RAY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:RAY
Last Name:COVINGTON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2024 GLEN EAGLE LN
Mailing Address - Street 2:
Mailing Address - City:SHOAL CREEK
Mailing Address - State:AL
Mailing Address - Zip Code:35242-4032
Mailing Address - Country:US
Mailing Address - Phone:205-910-2836
Mailing Address - Fax:205-991-6961
Practice Address - Street 1:2024 GLEN EAGLE LN
Practice Address - Street 2:
Practice Address - City:SHOAL CREEK
Practice Address - State:AL
Practice Address - Zip Code:35242-4032
Practice Address - Country:US
Practice Address - Phone:205-910-2836
Practice Address - Fax:205-991-6961
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL110861835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy