Individual
MR. JONATHAN TYLER PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4650 W MAIN ST, DOTHAN, AL 36305-9419
(334) 792-6824
(334) 824-6988
Mailing address
5369 10TH ST, MALONE, FL 32445-3428
(334) 790-2440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24347
AL
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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