Individual
ANDREA AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1952 W DALLAS AVE, SELMA, AL 36701-7027
(334) 872-7211
Mailing address
404 DARLINGTON CIR, DOTHAN, AL 36301-4652
(334) 794-0393
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20841
AL
333600000X
Pharmacy
20841
AL
Other
Enumeration date
10/24/2020
Last updated
06/09/2022
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