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Individual

DR. JOYCE SPENCER AMBROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
1101 BELTLINE RD SE, DECATUR, AL 35601-6545
(256) 350-2572
(256) 350-9175
Mailing address
912 HIGH ST SW, HARTSELLE, AL 35640-3110
(256) 773-5054

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13623
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100001480
AL
Enumeration date
09/13/2013
Last updated
09/13/2013
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