Individual
MRS. CHRISTIAN SANDERS BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1017 RIVER FALLS STREET, ANDALUSIA, AL 36420
(334) 222-9414
(334) 222-0797
Mailing address
727 ALBRITTON RD, ANDALUSIA, AL 36420-4601
(334) 488-4761
(334) 222-0797
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15351
AL
1835P1200X
Pharmacotherapy Pharmacist
15351
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6480874
DRIVERS LICENSE NUMBER
AL
Enumeration date
05/25/2011
Last updated
05/25/2011
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