Individual
MAISHA KELLY FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
800 LAKESHORE DR, BIRMINGHAM, AL 35229-0001
(205) 726-4175
Mailing address
1599 HADDON DR, HOOVER, AL 35226-6315
(205) 726-4175
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
14970
AL
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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