Individual
BEVERLY MICHELLE FEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 GLENN BLVD SW, FORT PAYNE, AL 35968-3535
(256) 996-7513
Mailing address
PO BOX 403, IDER, AL 35981-0403
(256) 996-7513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14214
AL
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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