Individual
MR. JOHN MABRY HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS PHARMACY
Contact information
Practice address
506 E CHURCH ST, ATMORE, AL 36502-2626
(251) 368-8131
(251) 446-3619
Mailing address
506 EAST CHURCH ST, RITE AID, ATMORE, AL 36502
(251) 368-8131
(251) 446-3619
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8081
AL
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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