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MRS. JENNIFER NICOLE HERRELL PHARMD,

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1699932780

Individual Registrant:
MRS. JENNIFER NICOLE HERRELL PHARMD,
Gender: F
Not Sole Proprietor

Location and contact information for practice:
85 BANK STREET  STEVENSON, AL 35772 US
Tel: 256-437-2248  Fax: 256-437-9003

Contact information for business:
85 BANK STREET  STEVENSON, AL 35772 US
Tel: 256-437-2248  Fax: 256-437-9003

Registration Information:
NPI: 1699932780
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N183500000XPharmacy Service Providers
Pharmacist
TN0000032304
Y183500000XPharmacy Service Providers
Pharmacist
AL15508

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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