Individual
LISA WILSON STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 GILBREATH AVE, FAIRHOPE, AL 36532-4998
(251) 377-2809
Mailing address
100 GILBREATH AVE, FAIRHOPE, AL 36532-4998
(251) 377-2809
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12491
AL
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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