Individual
MARY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 OLLIE AVE, CLANTON, AL 35045-2238
(205) 755-1711
Mailing address
124 PINETREE CIR, COLUMBIANA, AL 35051-9333
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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