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Individual

KIMBERLY FRIDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1415 7TH ST S, CLANTON, AL 35045-3746
(205) 755-5728
(205) 755-9477
Mailing address
1415 7TH ST S, CLANTON, AL 35045-3746

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14184
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14184
PHARMACY LICENSE
AL
Enumeration date
06/06/2017
Last updated
06/06/2017
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