Individual
MR. ALAN DALE EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1613 GLENN BLVD SW, FORT PAYNE, AL 35968-3531
(256) 845-0128
Mailing address
1613 GLENN BLVD SW, FORT PAYNE, AL 35968-3531
(256) 845-0128
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12391
AL
Other
Enumeration date
11/23/2012
Last updated
11/23/2012
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