Provider Demographics
NPI:1467776518
Name:BARTLEY, JENNY LYNN (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:MRS
First Name:JENNY LYNN
Middle Name:
Last Name:BARTLEY
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 SHILOH CIR
Mailing Address - Street 2:
Mailing Address - City:PINSON
Mailing Address - State:AL
Mailing Address - Zip Code:35126-4073
Mailing Address - Country:US
Mailing Address - Phone:205-680-3162
Mailing Address - Fax:205-661-0306
Practice Address - Street 1:5980 CHALKVILLE MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3315
Practice Address - Country:US
Practice Address - Phone:205-655-5266
Practice Address - Fax:205-661-0306
Is Sole Proprietor?:No
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14992183500000X
TN26652183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist