Individual
KIM L THORNBURGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
848 N RIVER DR, SHELBY, AL 35143-7244
(205) 566-7054
Mailing address
848 N RIVER DR, SHELBY, AL 35143-7244
(205) 566-7054
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12833
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12833
STATE BOARD OF PHARMACY
AL
Enumeration date
01/08/2021
Last updated
01/08/2021
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