Provider Demographics
NPI:1922536168
Name:BYRD, JANNA S (RPH)
Entity Type:Individual
Prefix:
First Name:JANNA
Middle Name:S
Last Name:BYRD
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 1:109 BURNHAM ST
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-1836
Mailing Address - Country:US
Mailing Address - Phone:205-540-5443
Mailing Address - Fax:
Practice Address - Street 1:165 VAUGHAN LN
Practice Address - Street 2:
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35125-7808
Practice Address - Country:US
Practice Address - Phone:205-338-5312
Practice Address - Fax:205-338-5315
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10674183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist