Provider Demographics
NPI:1407195647
Name:SWEATT, BRANDY ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:ANN
Last Name:SWEATT
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 1:4301 VETERANS MEMORIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35404-5185
Mailing Address - Country:US
Mailing Address - Phone:205-792-7264
Mailing Address - Fax:205-248-7263
Practice Address - Street 1:4301 VETERANS MEMORIAL PKWY
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35404-5185
Practice Address - Country:US
Practice Address - Phone:205-792-7264
Practice Address - Fax:205-248-7263
Is Sole Proprietor?:No
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist