Individual
MRS. TRACEY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
315 W HICKORY ST, SYLACAUGA, AL 35150-2913
(256) 401-4065
Mailing address
315 W HICKORY ST, SYLACAUGA, AL 35150-2913
(256) 401-4065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11431
AL
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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