Individual
JOHNA CAROL-ANN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8580 HIGHWAY 72 W, MADISON, AL 35758-9578
(256) 716-6951
Mailing address
209 SUMMERLAND CT, HAZEL GREEN, AL 35750-7009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19794
AL
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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