Individual
DR. MITCHELL LEWIS ENNIS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4901 GARY AVE, FAIRFIELD, AL 35064-1348
(205) 785-4343
Mailing address
2525 CANTERBURY RD, BIRMINGHAM, AL 35223-1909
(205) 871-5972
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6673
AL
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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