Provider Demographics
NPI:1679050363
Name:EISENMANN, BRETT ANDREW (PHARMD)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:ANDREW
Last Name:EISENMANN
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 1:5576 13TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35222-4114
Mailing Address - Country:US
Mailing Address - Phone:205-216-2373
Mailing Address - Fax:
Practice Address - Street 1:7001 CRESTWOOD BLVD STE 112
Practice Address - Street 2:
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210-2345
Practice Address - Country:US
Practice Address - Phone:205-216-2373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-25
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH030719183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARPH030719OtherGEORGIA BOARD OF PHARMACY
AL21549OtherALABAMA BOARD OF PHARMACY