Facts
- Status
- A
- Credential
- pharmD
- Type
- Individual
- Enumeration date
- 2026-04-16
- Last updated
- 2026-04-16
Specialties
Licenses
- License AL
- 24547
Location
- Practice location
- 875 COUNTY ROAD 408
- City
- DUTTON AL
- Postal code
- 357448397
- Phone
- 256-242-4464
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.