Provider Demographics
NPI:1639372048
Name:HACKNEY, DONNIS EVELYN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DONNIS
Middle Name:EVELYN
Last Name:HACKNEY
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 1:1157 18TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-6526
Mailing Address - Country:US
Mailing Address - Phone:205-249-9743
Mailing Address - Fax:
Practice Address - Street 1:509 MINERAL TRCE
Practice Address - Street 2:SUITE 200
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35244-4507
Practice Address - Country:US
Practice Address - Phone:205-249-9743
Practice Address - Fax:800-476-5465
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST-101475183500000X
VA0202221623183500000X
ARPD16850183500000X
FLPS65654183500000X
NC32672183500000X
AL15118183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist