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Individual

PAGE DUNLAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
1700 2ND AVE SW, CULLMAN, AL 35055-5337
(256) 734-7188
(256) 734-7138
Mailing address
3020 AZTEC DR SE, DECATUR, AL 35603-5242
(205) 862-7243

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
115530-7
MN
183500000X
Pharmacist
Primary
12156
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115530-7
PHARMACY STATE LICENSE
MN
01
12156
PHARMACY STATE LICENSE
AL
Enumeration date
08/07/2006
Last updated
08/12/2021
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