Provider Demographics
NPI:1861705980
Name:GUNNELS, JOHN PAUL (RPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:PAUL
Last Name:GUNNELS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3106 JAMES MADISON DR E
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-4060
Mailing Address - Country:US
Mailing Address - Phone:251-661-0862
Mailing Address - Fax:251-661-0862
Practice Address - Street 1:5201 COTTAGE HILL RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-4244
Practice Address - Country:US
Practice Address - Phone:251-666-1440
Practice Address - Fax:251-661-0862
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-18
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9378183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist