Basic Information
| Provider Information | |||||||||
| NPI: | 1750694527 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALKIRE | ||||||||
| FirstName: | DANA | ||||||||
| MiddleName: | SHARP | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARMD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | SHARP | ||||||||
| OtherFirstName: | DANA | ||||||||
| OtherMiddleName: | ADELL | ||||||||
| OtherNamePrefix: | |||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 11850 DR MARTIN LUTHER KING JR ST N | ||||||||
| Address2: | APT. 18303 | ||||||||
| City: | ST PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337161619 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2108338196 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 10,000 BAY PINES BLVD. | ||||||||
| Address2: | |||||||||
| City: | BAY PINES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33744 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7273986661 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/21/2010 | ||||||||
| LastUpdateDate: | 07/21/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 48616 | TX | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.