Individual
THI LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7101 US HIGHWAY 90 BLDG B, DAPHNE, AL 36526-9512
(251) 279-5455
(251) 279-5475
Mailing address
2121 DORCHESTER DR, MOBILE, AL 36695-2920
(251) 458-9886
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19480
AL
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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