NPI 1013386267

Anna Usaha Intraboona, PHARMD

Practitioner Pharmacist Cullman, AL

Practice location

Address: 626 Olive St SW, Cullman, AL 35055-5594
Phone: (256) 739-3390
Mailing address: 27954 Alabama Highway 91, Hanceville, AL 35077

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 14853 (AL)

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Registry record

NPI: 1013386267
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Sep 2015
Record last updated: 17 Sep 2015

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.