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Individual

COREY STANLEY ASARISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
5245 RANGELINE SERVICE RD S, MOBILE, AL 36619-9541
(251) 666-7977
Mailing address
9660 GINKLE RD W, IRVINGTON, AL 36544-3516

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19790
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19790
STATE PHARMACY LICENSE
AL
Enumeration date
11/23/2020
Last updated
11/23/2020
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