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Individual

CHERYL J CORNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3881 ATLANTA HWY, MONTGOMERY, AL 36109-3633
(334) 271-5174
Mailing address
3881 ATLANTA HWY, MONTGOMERY, AL 36109-3633
(817) 538-6910

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14687
AL
183500000X
Pharmacist
43292
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14687
PHARMACIST LICENSE
AL
Enumeration date
03/28/2007
Last updated
07/08/2007
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