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Individual

CHARLES LOFTIN STUDSTILL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
509 E CUMMING AVE, OPP, AL 36467-2251
(334) 493-6563
Mailing address
509 E CUMMING AVE, OPP, AL 36467-2251
(334) 493-6563

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14219
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14219
ALABAMA STATE BOARD OF PHARMACY LICENSE NUMBER
AL
Enumeration date
05/16/2008
Last updated
05/16/2008
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