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JOHN W CARPENTER
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1134181050
Individual Registrant: JOHN W CARPENTER
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
12 LAFAYETTE ST HAYNEVILLE, AL 36040 US
Tel: 334-548-2125 Fax: 334-548-2126
Tel: 334-548-2125 Fax: 334-548-2126
Contact information for business:
PO BOX 366 HAYNEVILLE, AL 36040-0366 US
Tel: 334-548-2125 Fax: --
Tel: 334-548-2125 Fax: --
Registration Information:
NPI: 1134181050
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | AL | 11181 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PHARMACIST | 11181 | AL | 01 |
