Moundville Medical Plaza Inc.
NPI #1013032648 in Moundville, Alabama
Provider Information
- NPI Number
- 1013032648
- Entity Type
- Organization
- Organization Name
- Moundville Medical Plaza Inc.
- Primary Specialty
- Pharmacist
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Jun 16, 2008
Practice Location
- Address
- 16061 HWY 69 SOUTH
- City
- Moundville
- State
- Alabama
- ZIP Code
- 35474
- Phone
- (205) 371-9031
Authorized Official
- Name
- MR. CLIFFORD ALLEN HARLAND JR.
- Title
- PRESIDENT
- Phone
- (205) 371-9031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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