Individual
STALLARD DELMUS MIKELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3625 HIGHWAY 14, MILLBROOK, AL 36054-1842
(334) 285-8335
(334) 285-5298
Mailing address
3920 CHAPMAN RD, MILLBROOK, AL 36054-2523
(334) 285-5253
(334) 285-7415
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7264
AL
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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