Provider Demographics
NPI:1851705024
Name:GIDDENS, AILEEN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:AILEEN
Middle Name:
Last Name:GIDDENS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3035 DOLLY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-1810
Mailing Address - Country:US
Mailing Address - Phone:205-967-8118
Mailing Address - Fax:
Practice Address - Street 1:3965 CROSSHAVEN DR
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-5417
Practice Address - Country:US
Practice Address - Phone:205-969-0767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11854183500000X
FL22642183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist