Individual
MERISSA LAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 6TH AVE S # NP3470, BIRMINGHAM, AL 35233-1932
(205) 934-7191
Mailing address
5436 VICKSBURG CIR, BIRMINGHAM, AL 35210-3041
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18610
AL
183500000X
Pharmacist
PS42652
FL
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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