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Jimmy Derrell Massey

Pharmacist in Section, AL. Individual provider (NPI-1).

NPI number1346201142
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1346201142
Entity type
Individual (NPI-1)
Name
Mr. Jimmy Derrell Massey
Sex
Male
Sole proprietor
No
Enumeration date
Mar 31, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist10177ALYes

Practice location

5337 Tammy Little Dr
Section, AL 35771-7206

Phone 256-228-7179

Mailing address

Po Box 29
Section, AL 35771-0029

Phone 256-228-6443

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