Individual
DR. BRENDA ANN PEDOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4715 RICE MINE RD NE, TUSCALOOSA, AL 35406-2648
(205) 345-3455
Mailing address
4715 RICE MINE RD NE, TUSCALOOSA, AL 35406-2648
(205) 345-3455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13719
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13719
PHARMACIST LICENSE
AL
Enumeration date
02/02/2006
Last updated
11/30/2020
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