JONATHAN TYLER PROCTOR

DOTHAN, AL
NPI1720955180
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AL  24347)
Enumeration Date2025-10-21
Last Update Date2025-10-21
Business Address
Mr. JONATHAN TYLER PROCTOR PharmD
4650 W MAIN ST
DOTHAN, AL 36305-9419
Phone number: 334-792-6824
Mailing Address
Mr. JONATHAN TYLER PROCTOR PharmD
5369 10TH ST
MALONE, FL 32445-3428
Phone number: 334-790-2440