Individual
MRS. DORIS PUTMAN MAISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1152 EASTLAKE BLVD, TARRANT CITY, AL 35217
(205) 841-6421
(205) 841-2405
Mailing address
821 CROSSHILL LANE, WARRIOR, AL 35180-5540
(205) 647-6635
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7115
AL
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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