Individual
DR. TOMIE ANN BOACKLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 801-8732
(205) 801-8741
Mailing address
9580 MCPHERSON RD, WARRIOR, AL 35180-2756
(205) 590-4453
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13442
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13442
STATE LICENSE NUMBER PHAR
AL
Enumeration date
07/18/2005
Last updated
07/08/2007
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