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Individual

MRS. RORY ELIZABETH COLVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
10705 AL HIGHWAY 75, IDER, AL 35981-4627
(256) 657-5151
Mailing address
1400 NORTHRIDGE TRCE, ALBERTVILLE, AL 35951-4226
(256) 891-7887

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13768
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13768
STATE LICENSE NUMBER
AL
Enumeration date
05/17/2007
Last updated
07/08/2007
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