Provider Demographics
NPI:1558474635
Name:DRINKARD, MICHAEL THOMAS (RPH)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:THOMAS
Last Name:DRINKARD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 VILLA DR
Mailing Address - Street 2:
Mailing Address - City:MERIDIANVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35759-2454
Mailing Address - Country:US
Mailing Address - Phone:256-858-6830
Mailing Address - Fax:
Practice Address - Street 1:13574 HIGHWAY 231 431 N
Practice Address - Street 2:SUITE B
Practice Address - City:HAZEL GREEN
Practice Address - State:AL
Practice Address - Zip Code:35750-8642
Practice Address - Country:US
Practice Address - Phone:256-813-0150
Practice Address - Fax:256-813-0149
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11601183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist