Individual
JULY PHOUANGMANIVANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 S COLLEGE ST, AUBURN, AL 36832-5870
(334) 821-2616
Mailing address
164 CASTELLO CIR, AUBURN, AL 36830-7725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21234
AL
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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