Individual
SANDRA GRACE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHT
Contact information
Practice address
5565 HWY 43, SATSUMA, AL 36572
(251) 675-2070
(251) 675-7785
Mailing address
5807 NORTHGATE DR., SATSUMA, AL 36572
(251) 679-8636
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T14115
AL
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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