Individual
JERILL SHERWOOD THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1713 PEPPERELL PKWY, OPELIKA, AL 36801-5548
(334) 745-3632
Mailing address
320 TULLAHOMA DR, AUBURN, AL 36830-3220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6591
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6591
AL STATE BOP LISCENSE
AL
Enumeration date
08/08/2012
Last updated
08/08/2012
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