Individual
JONATHAN STURDIVANT ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8501
Mailing address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21381
AL
Other
Enumeration date
06/21/2020
Last updated
06/21/2020
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