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Individual

LACEY JOHNSON CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1801 WOODWARD AVE, MUSCLE SHOALS, AL 35661-2843
(256) 383-0896
Mailing address
1801 WOODWARD AVE, MUSCLE SHOALS, AL 35661-2843

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20528
AL

Other

Enumeration date
08/30/2018
Last updated
08/30/2018
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