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Individual

GENESEE ALCALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3997 UNIVERSITY DR NW, HUNTSVILLE, AL 35816-3172
(256) 534-3691
Mailing address
3997 UNIVERSITY DR NW, HUNTSVILLE, AL 35816-3172
(256) 534-2785

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21241
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21241
ALABAMA BOARD OF PHARMACY
AL
Enumeration date
04/12/2020
Last updated
12/18/2022
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