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Individual

MR. ROBERT L GOLDEN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
95 LIGHTWOOD RD, DEATSVILLE, AL 36022-3494
(334) 569-2112
(334) 569-1143
Mailing address
95 LIGHTWOOD RD, DEATSVILLE, AL 36022-3494
(334) 569-2112
(334) 569-1143

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6188
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100001378
AL
Enumeration date
07/20/2012
Last updated
07/20/2012
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