Individual
TINA COUNTISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 S WATER ST, TUSCUMBIA, AL 35674-2424
(256) 381-2400
Mailing address
103 S WATER ST, TUSCUMBIA, AL 35674-2424
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12011
AL
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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