Individual
EDWARD LEE JUSTICE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30957 MILL LN, SPANISH FORT, AL 36527-5453
(251) 625-4654
(251) 625-4774
Mailing address
9665 BELLA DR, DAPHNE, AL 36526-6271
(251) 928-7762
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9097
AL
Other
Enumeration date
12/10/2011
Last updated
12/10/2011
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