Individual
LISA GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1521 4TH AVE S, BIRMINGHAM, AL 35233-1612
(205) 290-9577
Mailing address
1521 4TH AVE S, BIRMINGHAM, AL 35233-1612
(205) 290-9577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10839
AL
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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