DERRICK AUSTIN

HEFLIN, AL
NPI1467859629
Other NameDERRICK AUSTIN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AL  10984)
Enumeration Date2014-12-03
Last Update Date2015-02-04
Business Address
-- DERRICK AUSTIN
64 GILES ST
HEFLIN, AL 36264-1738
Phone number: 256-393-4063
Mailing Address
-- DERRICK AUSTIN
64 GILES ST
HEFLIN, AL 36264-1738
Phone number: 256-393-4063
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