Individual
DR. LONNIE FORREST BAMBAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-2180
Mailing address
3016 MCKINLEY DR, OPELIKA, AL 36804-7740
(334) 444-6364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15379
AL
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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