Provider Demographics
NPI:1679986533
Name:PULLEY, JERRI ANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JERRI
Middle Name:ANN
Last Name:PULLEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JERRI
Other - Middle Name:ANN
Other - Last Name:JOPLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2512 ARROW WOOD DR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803-1339
Mailing Address - Country:US
Mailing Address - Phone:615-604-8432
Mailing Address - Fax:
Practice Address - Street 1:1963 MEMORIAL PKWY SW STE 14
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5035
Practice Address - Country:US
Practice Address - Phone:256-265-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16641183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist