Provider Demographics
NPI:1053627505
Name:LAYFIELD, NAKISHA RENEE (PHARM D)
Entity Type:Individual
Prefix:
First Name:NAKISHA
Middle Name:RENEE
Last Name:LAYFIELD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5270 SUMMERSET WAY
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-8374
Mailing Address - Country:US
Mailing Address - Phone:205-602-8407
Mailing Address - Fax:
Practice Address - Street 1:3209 ENSLEY 5 POINTS W AVE
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35208-2715
Practice Address - Country:US
Practice Address - Phone:205-786-3455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-22
Last Update Date:2010-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15105183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist