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Individual

MR. GERALD LANE NEWBERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
1702 N WOOD AVE, FLORENCE, AL 35630-2153
(256) 767-3100
(256) 767-2055
Mailing address
144 S SEQUOIA BLVD, FLORENCE, AL 35630-1462
(256) 767-0441
(256) 767-2055

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7851
AL

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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