Provider Demographics
NPI:1508247750
Name:UNDERWOOD, ANNA (PHARM D)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:UNDERWOOD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 BROADWAY PARK
Mailing Address - Street 2:APY 309
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6200
Mailing Address - Country:US
Mailing Address - Phone:205-482-1893
Mailing Address - Fax:
Practice Address - Street 1:2101 RICHARD ARRINGTON JR BLVD S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-1256
Practice Address - Country:US
Practice Address - Phone:205-939-1417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-13
Last Update Date:2015-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17737183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist