Individual
JENNIFER KEOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 2ND AVE NW, CULLMAN, AL 35055-2827
(256) 739-4601
Mailing address
1411 COUNTY ROAD 548, HANCEVILLE, AL 35077-6316
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16495
AL
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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