Individual
SAMUEL BAGWELL WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1551 FORESTDALE BLVD, FORESTDALE, AL 35214-3017
(205) 798-8360
(205) 798-6130
Mailing address
1551 FORESTDALE BLVD, FORESTDALE, AL 35214-3017
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15877
AL
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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