Individual
MRS. TANSLEY PATE MARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
200 UNIVERSITY BLVD, TUSCALOOSA, AL 35401-1250
(205) 759-0677
Mailing address
2340 FORT FISHER RD, TUSCALOOSA, AL 35406-1771
(205) 759-0677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12676
AL
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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