Provider Demographics
NPI:1396397543
Name:HALE, BRITTANY M (PHARMD)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:M
Last Name:HALE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:M
Other - Last Name:DELETTRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:355 JENNINGS MILL PKWY APT 1223
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-7281
Mailing Address - Country:US
Mailing Address - Phone:912-663-4242
Mailing Address - Fax:
Practice Address - Street 1:355 JENNINGS MILL PKWY APT 1223
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-7281
Practice Address - Country:US
Practice Address - Phone:912-663-4242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH031418183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist