Provider Demographics
NPI:1700511615
Name:SZAMIER, DYREK (PHARMD)
Entity Type:Individual
Prefix:
First Name:DYREK
Middle Name:
Last Name:SZAMIER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 GREEN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35756-4363
Mailing Address - Country:US
Mailing Address - Phone:256-682-9540
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:2022-07-24
Last Update Date:2022-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22615183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist