Individual
MR. BRIGHTMAN BLONZO COKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5565 HWY 43, SATSUMA, AL 36572
(251) 675-2070
(251) 675-7785
Mailing address
3755 SWANSEA DRIVE, MOBILE, AL 36608
(251) 343-2342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9112
AL
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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