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Individual

CARRIE CABANISS PAXTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
3741 HIGHWAY 14, MILLBROOK, AL 36054-1905
(334) 285-6648
Mailing address
3741 HIGHWAY 14, MILLBROOK, AL 36054-1905

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17880
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202-0014
APHA PHARMACY-BASED IMMUNIZATION DELIVERY CERTIFICATE OF ACHIEVEMENT
AL
Enumeration date
08/23/2014
Last updated
08/23/2014
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