Provider Demographics
NPI:1942587472
Name:BELL, KATRINIA RENEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KATRINIA
Middle Name:RENEE
Last Name:BELL
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 1:1127 6TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-4009
Mailing Address - Country:US
Mailing Address - Phone:256-355-4495
Mailing Address - Fax:256-355-9971
Practice Address - Street 1:1127 6TH AVE SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-4009
Practice Address - Country:US
Practice Address - Phone:256-355-4495
Practice Address - Fax:256-355-9971
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14531183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist