Individual
DANTEL RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10115 GRAND BAY WILMER RD S, GRAND BAY, AL 36541-5024
(251) 865-6128
(251) 865-5400
Mailing address
10115 GRAND BAY WILMER RD S, GRAND BAY, AL 36541-5024
(251) 865-6128
(251) 865-5400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21544
AL
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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