Individual
MRS. MARY M GRANDQUEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1698 HIGHWAY 98, DAPHNE, AL 36526-4252
(251) 626-5739
Mailing address
1698 HIGHWAY 98, TARGET-1274, DAPHNE, AL 36526-4252
(251) 626-5739
(251) 626-5739
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11882
AL
Other
Enumeration date
06/11/2011
Last updated
06/11/2011
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