Braswell, Michelle Edmunds

Braswell, Michelle Edmunds is an sole proprietor health care provider with primary practice located at 4119 W Main St , Dothan AL 36305-1023. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Braswell, Michelle Edmunds can be contacted via phone (334) 793-1316.

Contact Information

Primary practice address
4119 W Main St Dothan AL 36305-1023
Phone: (334) 793-1316
Fax: (334) 793-4920
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 12727 Alabama

Profile Details

NPI number 1073721015
LBN Legal business name Braswell, Michelle Edmunds
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073721015 NPPES
Alabama Other 12727 AL BOARD OF PHARMACY LIC

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