Individual
GLENDON EARL GRAVLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6456 AL HWY 269, PARRISH, AL 35580
(205) 648-9945
(205) 648-9993
Mailing address
2408 WOODLEY DR, JASPER, AL 35504-9456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9125
AL
Other
Enumeration date
01/11/2007
Last updated
01/11/2012
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