Individual
MISS MARISA H BUTTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2653 VALLEYDALE RD, WINN-DIXIE PHARMACY 514, BIRMINGHAM, AL 35244
(205) 995-4960
(205) 995-4965
Mailing address
2653 VALLEYDALE RD, BIRMINGHAM, AL 35244-2026
(205) 995-4960
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11115
AL
Other
Enumeration date
09/13/2006
Last updated
09/18/2007
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