Provider Demographics
NPI:1902976244
Name:HASS, STEFANI D (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STEFANI
Middle Name:D
Last Name:HASS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:STEFANI
Other - Middle Name:DAWN
Other - Last Name:HEINFELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4980 ROSS CIR
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35475-4490
Mailing Address - Country:US
Mailing Address - Phone:205-266-1021
Mailing Address - Fax:
Practice Address - Street 1:3325 UNIVERSITY BLVD E
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35404-4339
Practice Address - Country:US
Practice Address - Phone:205-556-3800
Practice Address - Fax:205-556-0142
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15552183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist