Individual
MRS. JAKETA MARIA STOUDMIRE MARZOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., PHARMD, RPH
Contact information
Practice address
220 GADSDEN HWY, BIRMINGHAM, AL 35235-1006
(205) 836-8344
Mailing address
220 GADSDEN HWY, BIRMINGHAM, AL 35235-1006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03232623
OH
183500000X
Pharmacist
19188
AL
Other
Enumeration date
06/19/2012
Last updated
12/02/2020
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