Individual
MRS. DEIDRA OVERSTREET THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2640 ENTERPRISE DR, OPELIKA, AL 36801-1511
(334) 745-4304
Mailing address
1577 DUNBAR CT, AUBURN, AL 36830-2121
(334) 546-8563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12742
AL
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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