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Individual

EMILY A GICEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Mailing address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202217870
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202217870
VIRGINIA BOARD OF PHARMACY
VA
Enumeration date
12/24/2019
Last updated
08/12/2021
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