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Maxon Paul Moncrief

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

NPI number1417543265
StatusActive
Last updated in NPPESDec 16, 2020

Details

NPI
1417543265
Entity type
Individual (NPI-1)
Name
Maxon Paul Moncrief
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 16, 2020
Certification date
Dec 16, 2020
Last updated
Dec 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist13658ALYes

Practice location

1108 13th St
Phenix City, AL 36867-4966

Phone 334-298-8390 · Fax 334-298-9870

Mailing address

1108 13th St
Phenix City, AL 36867-4966

Phone 334-298-8390 · Fax 334-298-9870

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