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Individual

DR. JAMIE LYNN TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1107 LILLIAN LANE, DEMOPOLIS, AL 36732
(334) 507-8266
Mailing address
1107 LILLIAN LANE, DEMOPOLIS, AL 36732

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
010790
MS
183500000X
Pharmacist
Primary
16748
AL
183500000X
Pharmacist
34319
TN

Other

Enumeration date
03/27/2017
Last updated
03/27/2017
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