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1538455522
KIM WIDEMAN
BIRMINGHAM, AL
NPI
1538455522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AL 13716)
Enumeration Date
2011-06-28
Last Update Date
2011-06-28
Business Address
-- KIM WIDEMAN
1654 GADSDEN HWY T-1773
BIRMINGHAM, AL 35235-3104
Phone number: 205-655-2310
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Mailing Address
-- KIM WIDEMAN
1654 GADSDEN HWY T-1773
BIRMINGHAM, AL 35235-3104
Phone number: 205-655-2310
Copy
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