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DONALD CANAAN PHARMACIST

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1649686940

Individual Registrant:
 DONALD  CANAAN PHARMACIST
Gender: M
Sole Proprietor

Location and contact information for practice:
21951 STATE HIGHWAY 59 S STE A  ROBERTSDALE, AL 36567-8712 US
Tel: 251-947-5777  Fax: 251-947-3476

Contact information for business:
21951 STATE HIGHWAY 59 S STE A  ROBERTSDALE, AL 36567-8712 US
Tel: 251-947-5777  Fax: 251-947-3476

Registration Information:
NPI: 1649686940
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AL9005

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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