Individual
MR. TRACY J LEMOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
187 BALDWIN SQ, FAIRHOPE, AL 36532-2046
(251) 990-5779
(251) 990-5717
Mailing address
20040 LEA BROOK PL, FAIRHOPE, AL 36532-3637
(251) 990-9004
(251) 621-3970
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11764
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11764
PHARMACIST LICENSE NUMBER
LA
Enumeration date
09/22/2006
Last updated
07/08/2007
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