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Individual

LARRY GRAHAM PATRIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3932 COTTAGE HILL RD, MOBILE, AL 36609-6512
(251) 661-1190
Mailing address
3932 COTTAGE HILL RD, MOBILE, AL 36609-6512
(251) 661-1190

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9056
AL

Other

Enumeration date
12/03/2020
Last updated
12/03/2020
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