Individual
MR. RANDY FERRELL GUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
201 COMMERCE ST, JACKSON, AL 36545-2717
(251) 246-2271
Mailing address
PO BOX 426, 201 COMMERCE ST, JACKSON, AL 36545-0426
(251) 246-2271
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10303
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10303
STATE LICENSE NUMBER
AL
Enumeration date
01/02/2013
Last updated
01/02/2013
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