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NPI Code Detail

MEDICARE: ASJIA MARION BETHANY GILDER PHARMD

MEDICARE: ASJIA MARION BETHANY GILDER PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy23523AL

General Provider Information

NPI Number : 1386443307
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASJIA MARION BETHANY GILDER PHARMD
Provider Business Mailing Address
First Line : 3211 WARRENTON RD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36111-1223
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3190 ZELDA RD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36106-2692
Country : US
Telephone Number : 334-261-1071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2025
Last Update Date : 03/11/2025

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