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MRS. LAUREL LACEY BERRY RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1174830970

Individual Registrant:
MRS. LAUREL LACEY BERRY RPH
Gender: F
Sole Proprietor

Location and contact information for practice:
14 INDUSTRIAL LN  SYLVANIA, AL 35988-2273 US
Tel: 256-638-6070  Fax: --

Contact information for business:
14 INDUSTRIAL LN  SYLVANIA, AL 35988-2273 US
Tel: 256-638-6070  Fax: --

Registration Information:
NPI: 1174830970
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N183500000XPharmacy Service Providers
Pharmacist
GA20116
N183500000XPharmacy Service Providers
Pharmacist
TN9754
Y183500000XPharmacy Service Providers
Pharmacist
AL13916

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AL - Page 1



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