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Individual

JEFFREY G CHURCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
5611 SHIRLEY PARK DR, BESSEMER, AL 35022-3402
(205) 547-3964
(205) 484-0552
Mailing address
1027 GRAND OAKS DRIVE, BESSEMER, AL 35022
(205) 746-4549
(205) 978-9377

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12930
AL

Other

Enumeration date
02/23/2007
Last updated
08/20/2020
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