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Individual

CASSIDY MOSES BUMGARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
215 PERRY HILL RD, MONTGOMERY, AL 36109-3725
(334) 233-1219
Mailing address
174 CABIN RD, WETUMPKA, AL 36093-1813
(334) 514-2621

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20076
AL

Other

Enumeration date
09/02/2017
Last updated
09/02/2017
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