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MS. ETHEL MAE BURRELL PHARMD.

Pharmacotherapy >> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1891893608

Individual Registrant:
MS. ETHEL MAE BURRELL PHARMD.
Gender: F
Sole Proprietor

Location and contact information for practice:
2400 HOSPITAL RD PHARMACY SERVICE 119 TUSKEGEE, AL 36083-5001 US
Tel: 334-727-0550  Fax: --

Contact information for business:
701 WILTSHIRE DR  MONTGOMERY, AL 36117-6055 US
Tel: 334-215-1738  Fax: --

Registration Information:
NPI: 1891893608
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1835P1200XPharmacy Service Providers
Pharmacist
Pharmacotherapy
AL10932

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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