Provider Demographics
NPI:1295331742
Name:MCKEE, BEVERLY FORMBY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:FORMBY
Last Name:MCKEE
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 1:1706 HELEN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5627
Mailing Address - Country:US
Mailing Address - Phone:205-789-9774
Mailing Address - Fax:
Practice Address - Street 1:5410 HIGHWAY 280
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35242-6501
Practice Address - Country:US
Practice Address - Phone:205-201-7295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15427183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist