Individual
MRS. PRATIKSHA B GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12070 COUNTY LINE RD, MADISON, AL 35756-2000
(256) 230-2631
Mailing address
12070 COUNTY LINE RD, MADISON, AL 35756-2000
(256) 230-2631
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16518
AL
183500000X
Pharmacist
RPH020601
GA
Other
Enumeration date
01/09/2013
Last updated
11/10/2014
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