Organization
MOUNDVILLE MEDICAL PLAZA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFFORD ALLEN HARLAND JR. (PRESIDENT)
(205) 371-9031
Entity
Organization
Contact information
Practice address
16061 HWY 69 SOUTH, MOUNDVILLE, AL 35474
(205) 371-9031
(205) 371-9074
Mailing address
16061 HWY 69 SOUTH, P.O. BOX 551, MOUNDVILLE, AL 35474
(205) 371-9031
(205) 371-9074
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001507
—
AL
Enumeration date
03/20/2007
Last updated
06/16/2008
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