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Individual

MRS. STACY CREDILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
525 4TH AVE, RED BAY, AL 35582
(256) 356-4540
Mailing address
525 4TH AVENUE SE, RED BAY, AL 35582
(256) 356-4540

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13435
AL

Other

Enumeration date
10/07/2010
Last updated
10/07/2010
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