Provider Demographics
NPI:1598059834
Name:DUGAN, BYRDENA DEEANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BYRDENA
Middle Name:DEEANN
Last Name:DUGAN
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 1:800 LAKESHORE DR
Mailing Address - Street 2:MCWHORTER SCHOOL OF PHARMACY
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35229-0001
Mailing Address - Country:US
Mailing Address - Phone:205-726-2635
Mailing Address - Fax:205-726-2669
Practice Address - Street 1:800 LAKESHORE DR
Practice Address - Street 2:MCWHORTER SCHOOL OF PHARMACY
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35229-0001
Practice Address - Country:US
Practice Address - Phone:205-726-2635
Practice Address - Fax:205-726-2669
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL159741835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist