Individual
DR. ERIC VICTOR SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
83 MAIN ST, CORDOVA, AL 35550-1414
(205) 648-9918
(205) 648-9644
Mailing address
83 MAIN ST, CORDOVA, AL 35550-1414
(205) 648-9918
(205) 648-9644
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13847
AL
1835P1200X
Pharmacotherapy Pharmacist
13847
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13847
PHARMACY LICENSE NUMBER
AL
Enumeration date
02/05/2009
Last updated
02/05/2009
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