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Individual

MARK EDWARD GAYHEART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1061 HIGHWAY 280, ALEXANDER CITY, AL 35010-4622
(256) 234-5156
(256) 243-5428
Mailing address
1061 HIGHWAY 280, ALEXANDER CITY, AL 35010-4622
(256) 234-5156
(256) 234-5428

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20774
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20774
PHARMACIST LICENCE NUMBER
AL
Enumeration date
01/09/2020
Last updated
01/09/2020
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