Provider Demographics
NPI:1720297773
Name:MCNEES, DEVONNA D (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:DEVONNA
Middle Name:D
Last Name:MCNEES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:DEVONNA
Other - Middle Name:
Other - Last Name:DOERSAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:15919 NORTHWIND CIR
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35475-6100
Mailing Address - Country:US
Mailing Address - Phone:205-330-2445
Mailing Address - Fax:
Practice Address - Street 1:3107 LURLEEN B WALLACE BLVD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3256
Practice Address - Country:US
Practice Address - Phone:205-333-9343
Practice Address - Fax:205-333-1544
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13736183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL13736OtherPHARMACY LICENSE NUMBER