Individual
MRS. DARLENE MAE CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
138 HARTINGTON DR, MADISON, AL 35758-8242
(256) 830-6636
Mailing address
138 HARTINGTON DR, MADISON, AL 35758-8242
(256) 830-6636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051033379
IL
183500000X
Pharmacist
11647 EXP 12/31/2016
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11647
STATE LICENSE NUMBER
AL
Enumeration date
09/20/2010
Last updated
10/11/2016
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