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Individual

BAILEY BRIANNE FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1410 FLORENCE BLVD, FLORENCE, AL 35630-2700
(256) 712-6198
Mailing address
301 RIDGECREST LN, KILLEN, AL 35645-4481
(256) 762-5231

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21242
AL

Other

Enumeration date
09/14/2020
Last updated
09/14/2020
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