Individual
DONALD RAY EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2403 FLORENCE BLVD, FLORENCE, AL 35630-2877
(256) 766-7450
Mailing address
5320 HIGHWAY 17, FLORENCE, AL 35634-9006
(256) 760-9548
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10302
AL
183500000X
Pharmacist
8720
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10302
PHARMACY LICENSE
AL
Enumeration date
03/08/2011
Last updated
03/08/2011
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