Individual
MUSTAFA ISSA ELAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1101 16TH AVE SE, DECATUR, AL 35601
(256) 355-6225
Mailing address
3401 TANGLEWOOD DR SW, DECATUR, AL 35603-1331
(256) 355-6225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6156
AL
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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