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DR. ROGER DALE GRABEN R.PH., PH.D.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1780894196

Individual Registrant:
DR. ROGER DALE GRABEN R.PH., PH.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
438 E MILL RD  LINEVILLE, AL 36266-3608 US
Tel: 256-239-9373  Fax: 256-396-5241

Contact information for business:
438 E MILL RD  LINEVILLE, AL 36266-3608 US
Tel: 256-239-9373  Fax: 256-396-5241

Registration Information:
NPI: 1780894196
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X183500000XPharmacy Service Providers
Pharmacist
AL10883
X1835P1200XPharmacy Service Providers
Pharmacist
AL10883

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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