Most Relevant Information
Provider Data
NPI Number: | 1003019258 |
Provider Name: | LYDELL COLLIER PHARMD |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | 15273 |
Most Important Dates
Enumeration Date: | 06/06/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
444 WYNN DR NW
HUNTSVILLE
AL
358163426
Practice Location Phone/Fax
Phone: | 2568376240 |
Fax: |
Provider Mailing Location
102 HEATHERSPRING CT.
HUNTSVILLE
AL
35806
Provider Mailing Phone/Fax
Phone: | 2568376240 |
Fax: |