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Individual

LORI P. GRANBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2131 ROSS CLARK CIRCLE, DOTHAN, AL 36301
(334) 677-4665
(334) 793-1983
Mailing address
2131 ROSS CLARK CIRCLE, DOTHAN, AL 36301
(334) 677-4665
(334) 793-1983

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11076
AL
183500000X
Pharmacist
PS0022932
FL

Other

Enumeration date
03/17/2015
Last updated
03/17/2015
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