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MRS. LISA AMBROSE PHARMD

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist >> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1962547869

Individual Registrant:
MRS. LISA  AMBROSE PHARMD
Gender: F
Sole Proprietor

Location and contact information for practice:
7314 OLD TANNERY TRL  MC CALLA, AL 35111-3384 US
Tel: 205-617-0814  Fax: --

Contact information for business:
7314 OLD TANNERY TRL  MC CALLA, AL 35111-3384 US
Tel: 205-617-0814  Fax: --

Registration Information:
NPI: 1962547869
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1835P0018XPharmacy Service Providers
Pharmacist
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
AL15699

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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