Individual
CARLA IN MCEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3524 DECATUR HWY, FULTONDALE, AL 35068-1366
(877) 608-4995
Mailing address
7895 HIGHWAY 119 STE 1, ALABASTER, AL 35007-7554
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13688
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220117
—
AL
Enumeration date
03/18/2021
Last updated
03/18/2021
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