Provider Demographics
NPI:1902490261
Name:RODRIGUEZ-FEO, SAVANNAH (PHARMD)
Entity Type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:
Last Name:RODRIGUEZ-FEO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4705 LEGACY PRESERVE CIR SE
Mailing Address - Street 2:
Mailing Address - City:BROWNSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35741-8900
Mailing Address - Country:US
Mailing Address - Phone:251-599-2323
Mailing Address - Fax:
Practice Address - Street 1:2165 WINCHESTER RD NE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35811-9198
Practice Address - Country:US
Practice Address - Phone:256-716-6771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21595183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist