Provider Demographics
NPI:1700212586
Name:LOONEY, JOHN ALVIN JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ALVIN
Last Name:LOONEY
Suffix:JR
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 1:5980 CHALKVILLE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3315
Mailing Address - Country:US
Mailing Address - Phone:205-655-5266
Mailing Address - Fax:205-661-0306
Practice Address - Street 1:5980 CHALKVILLE MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3315
Practice Address - Country:US
Practice Address - Phone:205-655-5266
Practice Address - Fax:205-661-0306
Is Sole Proprietor?:No
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9303183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist