Provider Demographics
NPI:1871689836
Name:ANDERS, TERI H
Entity Type:Individual
Prefix:MRS
First Name:TERI
Middle Name:H
Last Name:ANDERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TERI
Other - Middle Name:H
Other - Last Name:WADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1569 OAK LN
Mailing Address - Street 2:
Mailing Address - City:HUEYTOWN
Mailing Address - State:AL
Mailing Address - Zip Code:35023-4384
Mailing Address - Country:US
Mailing Address - Phone:205-491-3254
Mailing Address - Fax:205-497-8797
Practice Address - Street 1:6817 WARRIOR RIVER RD STE 101
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35023-5602
Practice Address - Country:US
Practice Address - Phone:205-497-8777
Practice Address - Fax:205-497-8797
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12919183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist