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1538351960
KEITH HOLLEY CANTRELL
MADISON, AL
NPI
1538351960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AL 11302)
Enumeration Date
2007-08-09
Last Update Date
2007-08-09
Business Address
Mr. KEITH HOLLEY CANTRELL Rph
8050 HIGHWAY 72 W
MADISON, AL 35758-9567
Phone number: 256-830-1630
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Mailing Address
Mr. KEITH HOLLEY CANTRELL Rph
100 THOROUGHBRED TRL
MADISON, AL 35758-6238
Phone number: 256-722-4796
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