Provider Demographics
NPI:1013623230
Name:SPEARS, CASEY ESTELLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CASEY
Middle Name:ESTELLE
Last Name:SPEARS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:ESTELLE
Other - Last Name:BARRENTINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2284 OXFORD CT
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-4279
Mailing Address - Country:US
Mailing Address - Phone:334-750-9380
Mailing Address - Fax:
Practice Address - Street 1:2000 PEPPERELL PKWY
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-5452
Practice Address - Country:US
Practice Address - Phone:334-749-3411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15568183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist