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Individual

MS. KIMBERLY ANN SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
2190 GILMER AVE, TALLASSEE, AL 36078-7123
(334) 991-1058
Mailing address
548 HICKORY TRL, JACKSONS GAP, AL 36861-3163
(334) 406-9542

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25229
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
252290
PHARMACY
AL
Enumeration date
06/05/2017
Last updated
06/05/2017
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