Individual
MR. KEITH HOLLEY CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8050 HIGHWAY 72 W, MADISON, AL 35758-9567
(256) 830-1630
(256) 830-2206
Mailing address
100 THOROUGHBRED TRL, MADISON, AL 35758-6238
(256) 722-4796
(256) 830-2206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11302
AL
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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