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MS. ETHEL MAE BURRELL PHARMD.
Pharmacotherapy >> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1891893608
Individual Registrant:MS. ETHEL MAE BURRELL PHARMD.
Gender: F
Sole Proprietor
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: --
Tel: 334-727-0550 Fax: --
Contact information for business:
701 WILTSHIRE DR MONTGOMERY, AL 36117-6055 US
Tel: 334-215-1738 Fax: --
Tel: 334-215-1738 Fax: --
Registration Information:
NPI: 1891893608
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1835P1200X | Pharmacy Service Providers Pharmacist Pharmacotherapy | AL | 10932 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
