Individual
KARLA JACOBS MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
274 SUTTON RD SE, OWENS CROSS ROADS, AL 35763-8753
(256) 533-8982
Mailing address
226 NIX RD, HAZEL GREEN, AL 35750-6800
(205) 508-5723
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12257
AL
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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