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Individual

JEAN W LOUISMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1060 S OATES ST, DOTHAN, AL 36301-3514
(250) 281-2520
(334) 678-8380
Mailing address
1060 S OATES ST, DOTHAN, AL 36301-3514
(250) 281-2520
(334) 678-8380

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21183
AL
183500000X
Pharmacist
60177
FL

Other

Enumeration date
08/19/2020
Last updated
08/19/2020
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