Individual
HEATHER ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 MONTCLAIR RD, IRONDALE, AL 35210-2205
(205) 951-6632
Mailing address
1325 MONTCLAIR RD, IRONDALE, AL 35210-2205
(205) 951-6632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21375
AL
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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