Individual
SUSANA MIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
521 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2023
(205) 758-4423
Mailing address
521 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2023
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18803
AL
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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