Individual
JOHN W CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 LAFAYETTE ST, HAYNEVILLE, AL 36040
(334) 548-2125
(334) 548-2126
Mailing address
PO BOX 366, HAYNEVILLE, AL 36040-0366
(334) 548-2125
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11181
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11181
PHARMACIST
AL
Enumeration date
04/05/2006
Last updated
08/27/2021
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