Provider Demographics
NPI:1225135015
Name:LUMPKIN, ANGELA R (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:R
Last Name:LUMPKIN
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 1:2941 PANORAMA TRL
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-3734
Mailing Address - Country:US
Mailing Address - Phone:205-979-2468
Mailing Address - Fax:
Practice Address - Street 1:700 19TH ST S
Practice Address - Street 2:(119)
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1927
Practice Address - Country:US
Practice Address - Phone:205-933-8101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR08122183500000X
OH03-3-19826183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist