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Individual

MR. JAMES EASON MADDOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1380 HIGHLAND ST, MONTEVALLO, AL 35115-3570
(205) 222-2921
(334) 366-2425
Mailing address
1380 HIGHLAND ST, MONTEVALLO, AL 35115-3570
(205) 222-2921
(334) 366-2425

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7731
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7731
BOARD OF PHARMACY
AL
Enumeration date
08/19/2020
Last updated
08/19/2020
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