Individual
MS. TARA OWEN QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2041 EAGLE RIDGE DR, BIRMINGHAM, AL 35242-5442
(205) 937-8181
Mailing address
2041 EAGLE RIDGE DR, BIRMINGHAM, AL 35242-5442
(205) 937-8181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13549
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13549
STATE LICENSE NUMBER
AL
Enumeration date
05/23/2007
Last updated
01/08/2019
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