JENNIE ANESIA WALLACE

LEEDS, AL
NPI1427587690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AL  13890)
Enumeration Date2017-06-09
Last Update Date2017-06-09
Business Address
JENNIE ANESIA WALLACE pharmd
8551 WHITFIELD AVE
LEEDS, AL 35094-7560
Phone number: 205-699-0677
Mailing Address
JENNIE ANESIA WALLACE pharmd
228 WINDCHASE DR
BIRMINGHAM, AL 35242-4640
Phone number: 205-862-0022