Individual
MR. MATT COLLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1402 S FOREST AVE, LUVERNE, AL 36049-7330
(334) 335-6188
Mailing address
1402 S FOREST AVE, LUVERNE, AL 36049-7330
(334) 335-6188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10743
AL
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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