Individual
ROGER EUGENE JARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
517 W. AVALON AVE, WALMART PHARMACY, MUSCLE SHOALS, AL 35661
(256) 386-7384
(256) 386-7386
Mailing address
1925 HICKORY HILLS RD, FLORENCE, AL 35630-2626
(256) 285-8035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7845
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7845
ALABAMA BOARD OF PHARMACY
AL
Enumeration date
07/21/2017
Last updated
07/21/2017
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