Individual
SAMANTHA DIANNE PELHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
21 BRAXTON ST, HUNTSVILLE, AL 35806-5227
(256) 468-6017
Mailing address
21 BRAXTON ST, HUNTSVILLE, AL 35806-5227
(256) 468-6017
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026814
GA
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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