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Individual

MRS. DIANE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
55 RAY THORINGTON RD, MONTGOMERY, AL 36117-8935
(334) 215-4281
Mailing address
55 RAY, MONTGOMERY, AL 36116-8806
(334) 220-2411

Taxonomy

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

Other

Enumeration date
07/14/2008
Last updated
07/17/2012
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