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Individual

DR. ANNA USAHA INTRABOONA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
626 OLIVE ST SW, CULLMAN, AL 35055-5594
(256) 739-3390
Mailing address
27954 ALABAMA HIGHWAY 91, HANCEVILLE, AL 35077
(205) 936-3274

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14853
AL

Other

Enumeration date
09/17/2015
Last updated
09/17/2015
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