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Individual

BARRY A LATHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
8180 AL HIGHWAY 69, GUNTERSVILLE, AL 35976-7120
(256) 753-9500
(256) 753-9501
Mailing address
8180 AL HIGHWAY 69, GUNTERSVILLE, AL 35976-7120
(256) 753-9500
(256) 753-9501

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12918
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12918
ALA STATE BOARD OF PHARMACY
AL
Enumeration date
02/19/2010
Last updated
08/08/2014
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