Individual
MS. TABITHA J AVERETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
9081 HWY 22, MAPLESVILLE, AL 36750-0141
(334) 366-2425
(334) 366-2456
Mailing address
PO BOX 141, 9081 HWY 22, MAPLESVILLE, AL 36750-0141
(334) 366-2425
(334) 366-2456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
109598
AL
183500000X
Pharmacist
12338
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0124711
NCPDP
AL
Enumeration date
12/14/2006
Last updated
07/08/2007
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