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Individual

MARK ANTHONY LUMPKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
5560 MCCLELLAN BLVD, ANNISTON, AL 36206-1664
(256) 820-0994
(256) 820-8793
Mailing address
1625 PELHAM RD S, JACKSONVILLE, AL 36265-3314
(256) 435-1071
(256) 435-5934

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11368
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AL 11368
ALABAMA PHARMACY LICENSE
AL
Enumeration date
01/14/2015
Last updated
08/07/2016
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