Boackle, Tomie Ann

Boackle, Tomie Ann is an individual health care provider with primary practice located at 619 19Th St S , Birmingham AL 35249-1900. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Boackle, Tomie Ann can be contacted via phone (205) 801-8732.

Contact Information

Primary practice address
619 19Th St S Birmingham AL 35249-1900
Fax: (205) 801-8741
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 13442 Alabama

Profile Details

NPI number 1760481238
LBN Legal business name Boackle, Tomie Ann
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760481238 NPPES
Alabama Other 13442 STATE LICENSE NUMBER PHAR

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