Individual
DR. HEATHER CHANCEY PELLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1608 W MAGNOLIA AVE, GENEVA, AL 36340-1237
(334) 684-2277
(334) 684-3280
Mailing address
120 LAKEWOOD LOOP, GENEVA, AL 36340-8200
(334) 684-6140
(334) 684-3280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14402
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14402
ALABAMA BOARD OF PHARMACY
AL
Enumeration date
06/02/2017
Last updated
06/02/2017
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