Individual
COURTNEY JENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 ROSS CLARK CIR, DOTHAN, AL 36301-5439
(334) 673-1208
Mailing address
1620 ROSS CLARK CIR, DOTHAN, AL 36301-5439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17141
AL
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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