Individual
LISY V MORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8650 MADISON BLVD, MADISON, AL 35758-1803
(256) 461-7812
(256) 461-1745
Mailing address
301 BROADWAY LN, MADISON, AL 35757-7656
(256) 722-0302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7972
AL
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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