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Individual

QUYEN THE LY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
9248 PARKWAY E, BIRMINGHAM, AL 35206-1509
(205) 833-7676
Mailing address
1429 MATT LEONARD DR SW, BIRMINGHAM, AL 35211-5064
(404) 786-7830

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21626
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
052644407
GA
Enumeration date
02/08/2021
Last updated
02/08/2021
About Stedi
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