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Individual

DR. ANGELA ROYALE BLACKWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4500 MONTEVALLO RD, IRONDALE, AL 35210-3129
(205) 215-2417
Mailing address
4500 MONTEVALLO RD, BIRMINGHAM, AL 35210
(205) 215-2417

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16458
AL

Other

Enumeration date
03/27/2013
Last updated
03/27/2013
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