Individual
ROSA PETTWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
583 4TH AVE, YORK, AL 36925-2008
(205) 392-5201
Mailing address
RR 2 BOX 66B, CAMDEN, AL 36726-9213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15100
AL
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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