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MORGAN BRANTLEY LOCK PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1568857191
Individual Registrant: MORGAN BRANTLEY LOCK PHARMD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
10 GILMER AVE TALLASSEE, AL 36078-1206 US
Tel: 334-283-3637 Fax: --
Tel: 334-283-3637 Fax: --
Contact information for business:
434 BRANTLEY RD TALLASSEE, AL 36078-4569 US
Tel: 334-224-6464 Fax: --
Tel: 334-224-6464 Fax: --
Registration Information:
NPI: 1568857191
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | AL | 19453 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
