Individual
KATHLEEN ELISE DISMUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
698 S MCKENZIE ST, FOLEY, AL 36535-3541
(251) 971-6258
Mailing address
698 S MCKENZIE ST, FOLEY, AL 36535-3541
(251) 971-6258
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21450
AL
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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