Provider Demographics
NPI:1740549393
Name:HANDLEY, JERRY PAUL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JERRY
Middle Name:PAUL
Last Name:HANDLEY
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 1:709 WATTS DR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-2055
Mailing Address - Country:US
Mailing Address - Phone:256-489-2899
Mailing Address - Fax:
Practice Address - Street 1:1205 MEMORIAL PKWY NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5930
Practice Address - Country:US
Practice Address - Phone:256-519-2222
Practice Address - Fax:256-519-2229
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16628183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist