Provider Demographics
NPI:1396463162
Name:EFFINGER, DAVIDA (PHARMD)
Entity type:Individual
Prefix:
First Name:DAVIDA
Middle Name:
Last Name:EFFINGER
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 1:1260 BALCH RD APT 8110
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35757-6412
Mailing Address - Country:US
Mailing Address - Phone:205-643-0807
Mailing Address - Fax:
Practice Address - Street 1:100 PROVIDENCE MAIN ST NW STE G
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-4827
Practice Address - Country:US
Practice Address - Phone:256-837-2057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22688183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist