Individual
MR. LEWIS CLIFTON DEANHARDT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2721 W MAIN ST, DOTHAN, AL 36301-6402
(334) 712-6205
Mailing address
2721 W MAIN ST, DOTHAN, AL 36301-6402
(334) 712-6205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10082
AL
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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