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Individual

LENNIE ALLEN EZELLE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1903 COBBS FORD RD, PRATTVILLE, AL 36066-7230
(334) 365-7774
Mailing address
214 SPRUCE ST, PRATTVILLE, AL 36067-3833
(334) 365-7465

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7011
AL

Other

Enumeration date
06/14/2017
Last updated
06/14/2017
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