Individual
DEMETRA LEARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
JT 1735 619 19TH STREET SOUTH, BIRMINGHAM, AL 35294-0001
(205) 401-6955
Mailing address
3275 HILLARD DR, MOUNTAIN BRK, AL 35243-4929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21930
AL
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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