Individual
MRS. LISA AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7314 OLD TANNERY TRL, MC CALLA, AL 35111-3384
(205) 617-0814
Mailing address
7314 OLD TANNERY TRL, MC CALLA, AL 35111-3384
(205) 617-0814
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
15699
AL
Other
Enumeration date
02/20/2007
Last updated
01/27/2015
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