Chandler Shannon Cupp

NPI #1164250544 in Jacksonville, Alabama

Provider Information

NPI Number
1164250544
Entity Type
Individual
Name
Chandler Shannon Cupp
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Jul 25, 2024
Last Updated
Jul 25, 2024

Practice Location

Address
1625 PELHAM RD S
State
Alabama
ZIP Code
36265-3314
Phone
(256) 435-1071

Specialties & Taxonomy Codes

Specialty
Pharmacist

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