NPI 1003427493

James Miracle, PHARMD

Practitioner Pharmacist Montgomery, AL

Practice location

Address: 2015 Normandie Dr, Montgomery, AL 36111-2711
Phone: (334) 750-1528
Mailing address: 4371 Al Highway 169, Opelika, AL 36804-0507

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 21451 (AL)

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Registry record

NPI: 1003427493
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2020
Record last updated: 11 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.