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Individual

DR. ELLIOTT A DUVALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
10460 AL HIGHWAY 168, SUITE #1, BOAZ, AL 35957-1951
(256) 593-6546
(256) 593-3137
Mailing address
10460 AL HIGHWAY 168, SUITE #1, BOAZ, AL 35957-1951
(256) 593-6546
(256) 593-3137

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P16745
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100001098
AL
Enumeration date
05/02/2012
Last updated
05/02/2012
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