Self, Samuel L
Self, Samuel L is an sole proprietor health care provider with primary practice located at 5492 Magnolia Trce , Hoover AL 35244-4533. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Self, Samuel L can be contacted via phone (205) 982-5735.Contact Information
Primary practice address
5492 Magnolia Trce
Hoover AL 35244-4533
Phone: (205) 982-5735
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 11556 | Alabama |
Profile Details
| NPI number | 1942590070 |
|---|---|
| LBN Legal business name | Self, Samuel L |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2011 |
| Last updated | Apr 11th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942590070 | NPPES |
| Alabama | Other | 11556 | ALABAMA STATE BOARD OF PHARMACY |
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