Individual
LEAH NEWTON BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3186 HIGHWAY 171 N, FAYETTE, AL 35555-6172
(205) 932-2737
Mailing address
1414 4TH AVE SW, FAYETTE, AL 35555-3147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16480
AL
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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