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Organization

MAGNOLIA LEAF INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLIOT RAMBOD (OWNER)
(718) 913-4248
Entity
Organization

Contact information

Practice address
447 HUFFMAN RD, BIRMINGHAM, AL 35215-8305
(718) 913-4248
Mailing address
447 HUFFMAN RD, BIRMINGHAM, AL 35215-8305

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
08/17/2026
Last updated
08/17/2026
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