Individual
MR. SAMUEL L SELF JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5492 MAGNOLIA TRCE, HOOVER, AL 35244-4533
(205) 982-5735
Mailing address
5492 MAGNOLIA TRACE, HOOVER, AL 35244
(205) 982-7353
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11556
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11556
ALABAMA STATE BOARD OF PHARMACY
AL
Enumeration date
04/11/2011
Last updated
04/11/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us