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1902315591
LUCRETIA FOUNTAIN
JASPER, AL
NPI
1902315591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AL 9963)
Enumeration Date
2017-09-26
Last Update Date
2022-07-21
Business Address
LUCRETIA FOUNTAIN
1640 HWY 78 EAST
JASPER, AL 35501
Phone number: 205-221-3090
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Mailing Address
LUCRETIA FOUNTAIN
1640 HIGHWAY 78 E
JASPER, AL 35501-4034
Phone number: 205-221-3090
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