Provider Demographics
NPI:1013905967
Name:DEAN, JOSEPH ORAL JR (PHARMACIST)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ORAL
Last Name:DEAN
Suffix:JR
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3545 BROOKFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-2038
Mailing Address - Country:US
Mailing Address - Phone:205-541-6571
Mailing Address - Fax:205-824-0014
Practice Address - Street 1:3545 BROOKFIELD RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35226-2038
Practice Address - Country:US
Practice Address - Phone:205-541-6571
Practice Address - Fax:205-824-0014
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5584183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist