Individual
ROBERT KELLY JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 COUNCIL DR, ODENVILLE, AL 35120-4495
(205) 629-6303
(205) 629-6357
Mailing address
8599 HIGHLANDS TRCE, TRUSSVILLE, AL 35173-3815
(205) 629-6303
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14968
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14968
ALABAMA PHARMACY LICENSE
AL
Enumeration date
09/24/2018
Last updated
09/24/2018
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