Individual
JESSICA BLAIR FANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2817 30TH AVE N, BIRMINGHAM, AL 35207-4541
(731) 610-8613
Mailing address
3304 CASTLE CREST DR, VESTAVIA HILLS, AL 35216-4221
(731) 610-8613
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20491
AL
183500000X
Pharmacist
37583
TN
Other
Enumeration date
09/06/2013
Last updated
09/30/2019
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