Provider Demographics
NPI:1598354490
Name:GAMBILL, MOLLY COLQUITT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:COLQUITT
Last Name:GAMBILL
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 1:2855 REGAL CIR APT J
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4654
Mailing Address - Country:US
Mailing Address - Phone:334-275-1519
Mailing Address - Fax:
Practice Address - Street 1:630 COLONIAL PROMENADE PKWY
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-3111
Practice Address - Country:US
Practice Address - Phone:205-663-3411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS13057390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program