Provider Demographics
NPI:1245515501
Name:FEICK, JOSEPH JR (PHARM D)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:FEICK
Suffix:JR
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5510 HIGHWAY 280
Mailing Address - Street 2:SUITE 123
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-6582
Mailing Address - Country:US
Mailing Address - Phone:205-991-0800
Mailing Address - Fax:205-991-0810
Practice Address - Street 1:5510 HIGHWAY 280
Practice Address - Street 2:SUITE 123
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-6582
Practice Address - Country:US
Practice Address - Phone:205-991-0800
Practice Address - Fax:205-991-0810
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALP16461183500000X
MSE-010772183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP16461OtherPHARMACIST REGISTRATION
MSE-010772OtherPHARMACIST REGISTRATION