Individual
MARIA LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
27 MIDWAY PLAZA, DORA, AL 35062
(205) 648-9918
(205) 648-9964
Mailing address
674 ROCKY RIDGE RD, DORA, AL 35062-5203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9216
AL
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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