Individual
RAY GENE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1541 W MAGNOLIA AVE, STE 2, GENEVA, AL 36340-1213
(334) 684-7011
Mailing address
1541 W MAGNOLIA AVE, STE 2, GENEVA, AL 36340-1213
(334) 684-7011
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12219
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12219
ALABAMA PHARMACY LICENSE NUMBER
AL
Enumeration date
12/20/2012
Last updated
12/20/2012
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