Individual
BROOKLYN LEE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12796 BAILEY COVE RD SE, HUNTSVILLE, AL 35803-2659
(256) 885-2161
Mailing address
1411 LEGACY FARM DR SE, HUNTSVILLE, AL 35802-2637
(205) 712-3638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21439
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21439
ALABAMA BOARD OF PHARMACY
AL
Enumeration date
07/20/2020
Last updated
07/20/2020
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