Individual
LEA MARIE WOLSONCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4524 SOUTHLAKE PKWY STE 34, HOOVER, AL 35244-3607
(205) 593-4223
(205) 593-4573
Mailing address
4524 SOUTHLAKE PKWY STE 34, HOOVER, AL 35244-3607
(205) 593-4223
(205) 313-5791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12774
AL
1835P1200X
Pharmacotherapy Pharmacist
12774
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821064247
—
AL
Enumeration date
02/25/2006
Last updated
02/24/2021
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