Individual
MRS. TRACY T CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
584 MORRIS MAJESTIC RD, MORRIS, AL 35116
(205) 647-0515
Mailing address
PO BOX 222, MOUNT OLIVE, AL 35117
(205) 608-0288
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11788
AL
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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