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Individual

MRS. NICKI BRYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
991 ALABAMA HIGHWAY 203, ELBA, AL 36323-4228
(334) 897-5222
(334) 897-5266
Mailing address
991 ALABAMA HIGHWAY 203, ELBA, AL 36323-4228
(334) 897-5222
(334) 897-5266

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13244
AL

Other

Enumeration date
12/01/2008
Last updated
12/01/2008
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