Provider Demographics
NPI:1043628043
Name:PINNER, NATHAN ANDREW (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:ANDREW
Last Name:PINNER
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:UNIVERSITY MEDICAL CTR
Mailing Address - Street 2:BOX # 870374
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35487-0001
Mailing Address - Country:US
Mailing Address - Phone:205-348-3898
Mailing Address - Fax:205-348-2889
Practice Address - Street 1:UNIVERSITY MEDICAL CTR
Practice Address - Street 2:BOX # 870374
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35487-0001
Practice Address - Country:US
Practice Address - Phone:205-348-3898
Practice Address - Fax:205-348-2889
Is Sole Proprietor?:No
Enumeration Date:2014-07-23
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL161561835P1200X
TN294331835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy