Individual
REBECCA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 PARISH AVE, OPP, AL 36467-1613
(334) 493-4517
Mailing address
PO BOX 594, OPP, AL 36467-0594
(334) 493-4517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17420
AL
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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