Individual
BECKY SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2916 UNIVERSITY BLVD E, TUSCALOOSA, AL 35404-4246
(205) 553-0232
Mailing address
2916 UNIVERSITY BLVD E, TUSCALOOSA, AL 35404-4246
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16849
AL
Other
Enumeration date
08/07/2011
Last updated
08/07/2011
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