Provider Demographics
NPI:1215227442
Name:KIRBY, ANDREA MICHELLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:MICHELLE
Last Name:KIRBY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3422 AMBASSADOR DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-2303
Mailing Address - Country:US
Mailing Address - Phone:706-577-2034
Mailing Address - Fax:
Practice Address - Street 1:7400 BLACKMON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-4480
Practice Address - Country:US
Practice Address - Phone:706-330-5214
Practice Address - Fax:706-330-5212
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH024984183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist