Individual
MAXON PAUL MONCRIEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1108 13TH ST, PHENIX CITY, AL 36867-4966
(334) 298-8390
(334) 298-9870
Mailing address
1108 13TH ST, PHENIX CITY, AL 36867-4966
(334) 298-8390
(334) 298-9870
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13658
AL
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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