Individual
JESSICA TATE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 COVEWOOD LN, GUNTERSVILLE, AL 35976-7555
(205) 915-6331
Mailing address
1008 COVEWOOD LN, GUNTERSVILLE, AL 35976-7555
(205) 915-6331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15517
AL
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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