Individual
LATISHA MONIQUE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2501 COLLEGE AVE, JACKSON, AL 36545-2446
(251) 246-3316
Mailing address
429 WILSON AVE E APT A1, THOMASVILLE, AL 36784-1837
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22213
AL
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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