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Individual

MRS. STACEY D CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
710 MCMEANS AVE, PHARMACY DEPT., BAY MINETTE, AL 36507-3348
(251) 937-1101
(251) 937-1102
Mailing address
451 CHARLES V ST, SATSUMA, AL 36572-2821
(251) 679-9316
(251) 937-1102

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11806
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11806
STATE LICENSE NUMBER
AL
Enumeration date
03/16/2007
Last updated
07/08/2007
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