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Individual

DR. BEN W. CREEL IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
10040 COUNTY ROAD 48, FAIRHOPE, AL 36532-4520
(251) 990-9907
Mailing address
10040 COUNTY ROAD 48, FAIRHOPE, AL 36532-4520

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18668
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18668
ALABAMA PHARMACY PRACTICE LICENSE NUMBER
AL
Enumeration date
06/09/2017
Last updated
06/09/2017
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