Individual
JOE M STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
6680 ATLANTA HWY, MONTGOMERY, AL 36117-4240
(334) 409-0611
Mailing address
6680 ATLANTA HWY, MONTGOMERY, AL 36117-4240
(334) 409-0611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11623
AL
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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