Individual
TERESA BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
951 US HIGHWAY 80 W # B, DEMOPOLIS, AL 36732-4156
(334) 289-8989
Mailing address
1013 LILLIAN LN, DEMOPOLIS, AL 36732-1642
(334) 341-3350
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12395
AL
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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