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Individual

CHARLES E, STOVER SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5841 ATLANTA HWY, MONTGOMERY, AL 36117-2109
(334) 277-9676
Mailing address
7519 FOREST EDGE LN, MONTGOMERY, AL 36117-7515
(334) 272-1984

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5032
AL

Other

Enumeration date
03/30/2007
Last updated
07/08/2007
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