Provider Demographics
NPI:1568983047
Name:CAFFEY, AUTUMN JOHNSON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AUTUMN
Middle Name:JOHNSON
Last Name:CAFFEY
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 1:3309 PARK LANE DR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-1737
Mailing Address - Country:US
Mailing Address - Phone:251-369-0050
Mailing Address - Fax:
Practice Address - Street 1:2653 VALLEYDALE RD
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2026
Practice Address - Country:US
Practice Address - Phone:205-582-6188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-05
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16902183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist