Individual
MRS. ALITA M. PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
14281 CAT DEAKLE RD, GRAND BAY, AL 36541-3361
(251) 865-0218
(251) 639-5125
Mailing address
14281 CAT DEAKLE RD, GRAND BAY, AL 36541-3361
(251) 865-0218
(251) 639-5125
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15788
LA
183500000X
Pharmacist
Primary
16299
AL
183500000X
Pharmacist
E7809
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15788
LA BOARD OF PHARMACY
LA
01
—
16299
ALA BOARD OF PHARMACY
AL
01
—
E7809
MS. BOARD OF PHARMACY
MS
Enumeration date
08/05/2010
Last updated
08/05/2010
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