Provider Demographics
NPI:1982029823
Name:DINE, BRITTANY CAMERON (BS)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:CAMERON
Last Name:DINE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 N ROSS ST APT 133
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-8868
Mailing Address - Country:US
Mailing Address - Phone:813-410-2454
Mailing Address - Fax:
Practice Address - Street 1:AUBURN UNIVERSITY HARRISON OF PHARMACY
Practice Address - Street 2:2316 WALKER BUILDING
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36849-8868
Practice Address - Country:US
Practice Address - Phone:813-410-2454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-01
Last Update Date:2014-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS10738390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program