Individual
PAULA VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31040 1ST AVE NE, SUITE 5, CARBON HILL, AL 35549-4152
(205) 924-9999
Mailing address
2405 OAKRIDGE CIR, JASPER, AL 35504-8402
(205) 221-4993
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7643
AL
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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