Dedra Rush
Pharmacist in Birmingham, AL. Individual provider (NPI-1).
NPI number1700916111
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1700916111
- Entity type
- Individual (NPI-1)
- Name
- Dedra Rush
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 14636 | AL | Yes |
Practice location
1680 Montgomery HwyBirmingham, AL 35216-4906
Phone 205-979-1427
Mailing address
1933 Seattle Slew DrHelena, AL 35080-4130
Phone 205-663-6328
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