Individual
MR. KENNETH WAYNE PRICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1310 EASTERN VALLEY RD, BESSEMER, AL 35020-8609
(205) 425-5258
(205) 425-1373
Mailing address
2330 HAWKSBURY LN, HOOVER, AL 35226-1523
(205) 979-3714
(205) 425-1373
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11031
AL
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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