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Individual

JEREMY POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3501 20TH AVE, VALLEY, AL 36854-3206
(334) 768-2112
(334) 768-2112
Mailing address
3501 20TH AVE, VALLEY, AL 36854-3206
(334) 768-2112
(334) 768-2112

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13904
AL

Other

Enumeration date
06/01/2017
Last updated
07/21/2022
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