Individual
LUCRETIA FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 HWY 78 EAST, JASPER, AL 35501
(205) 221-3090
(205) 221-3501
Mailing address
1640 HIGHWAY 78 E, JASPER, AL 35501-4034
(205) 221-3090
(205) 221-3501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9963
AL
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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