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1306126057
LEWIS CLIFTON DEANHARDT
DOTHAN, AL
NPI
1306126057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AL 10082)
Enumeration Date
2011-08-26
Last Update Date
2011-08-26
Business Address
Mr. LEWIS CLIFTON DEANHARDT RPh
2721 W MAIN ST
DOTHAN, AL 36301-6402
Phone number: 334-712-6205
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Mailing Address
Mr. LEWIS CLIFTON DEANHARDT RPh
2721 W MAIN ST
DOTHAN, AL 36301-6402
Phone number: 334-712-6205
Copy
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