Individual
DR. LAURA ASHLEY FORNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 GREENO RD S, FAIRHOPE, AL 36532-2048
(251) 928-6558
Mailing address
245 ROYAL LN, FAIRHOPE, AL 36532-4223
(251) 423-5952
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17578
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17578
—
AL
Enumeration date
05/10/2022
Last updated
05/10/2022
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