Individual
KELSEY CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1614 GLENN BLVD SW, FORT PAYNE, AL 35968-3522
(265) 845-3402
Mailing address
3094 COUNTY ROAD 116, FORT PAYNE, AL 35968-6160
(423) 298-6181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21188
AL
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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