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Individual

MR. DON ENNIS HOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
83825 HIGHWAY 9, ASHLAND, AL 36251-7981
(256) 354-1160
(256) 354-1246
Mailing address
199 WESOBULGA ST, LINEVILLE, AL 36266-4743
(256) 396-5675
(256) 354-1246

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5645
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5645
PHARMACY LICENSE
AL
Enumeration date
04/02/2010
Last updated
04/02/2010
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