Provider Demographics
NPI:1922185925
Name:HAGOOD, JENNIFER GUTHRIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:GUTHRIE
Last Name:HAGOOD
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 1:3003 RIDGEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35504-6962
Mailing Address - Country:US
Mailing Address - Phone:205-221-6811
Mailing Address - Fax:205-295-1750
Practice Address - Street 1:41 CURRY HWY
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35503-7542
Practice Address - Country:US
Practice Address - Phone:205-221-6811
Practice Address - Fax:205-295-1751
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14366183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist