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Individual

DR. CORI K VANDEVENDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D

Contact information

Practice address
523 4TH AVE SE, RED BAY, AL 35582
(256) 356-9204
Mailing address
27040 US HIGHWAY 98, DAPHNE, AL 36526-4824
(516) 259-0962
(251) 621-5754

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15255
AL
3336C0003X
Community/Retail Pharmacy
AL

Other

Enumeration date
12/24/2007
Last updated
12/14/2020
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