Individual
MAX TILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8683 COUNTY ROAD 7, REPTON, AL 36475-6800
(251) 248-2135
(251) 248-2682
Mailing address
8683 COUNTY ROAD 7, REPTON, AL 36475-6800
(251) 248-2135
(251) 248-2682
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7031
AL
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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