Individual
MR. JIM B GANN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9461 AL HIGHWAY 75, HORTON, AL 35980-8399
(256) 593-1750
(256) 593-1711
Mailing address
PO BOX 28, DOUGLAS, AL 35964-0028
(256) 593-1750
(256) 593-1711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11616
AL
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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