Individual
GWEN Y DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5335 HIGHWAY 280, BIRMINGHAM, AL 35242-5317
(205) 980-7178
Mailing address
5335 HIGHWAY 280, BIRMINGHAM, AL 35242-5317
(205) 980-7178
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11916
AL
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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