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Individual

MR. JOHN MORGAN GENTRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
87458 US HIGHWAY 278, ALTOONA, AL 35952-9638
(205) 466-7990
(205) 466-3603
Mailing address
PO BOX 510, SNEAD, AL 35952-0510
(205) 466-7990
(205) 466-3603

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7897
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100001501
AL
Enumeration date
03/15/2011
Last updated
03/15/2011
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