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Individual provider · Pharmacist · Hartselle, AL

NPI
1023316684
Type
Individual (Type 1)
Primary specialty
Pharmacist
Specialty group
Pharmacy Service Providers
Taxonomy code
183500000X
License number
8092 (AL)
Sex
Male
Sole proprietor
Yes
Enumerated
2011-03-07
Last updated
2011-03-07
Practice location
1904 Heritage Ln Sw
Hartselle, AL 35640-3550
(256) 751-2958

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