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Organization
HAYWOOD RX, LLC DBA OPTIMUM WELLNESS PHARMACY
Active
Organization
HAYWOOD RX, LLC DBA OPTIMUM WELLNESS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ALLEN HAYWOOD RPH (OWNER/MANAGER)
(812) 457-1204
Entity
Organization
Contact information
Practice address
8900 RUFFIAN LN, NEWBURGH, IN 47630-3424
(812) 457-1204
Mailing address
8900 RUFFIAN LN, NEWBURGH, IN 47630-3424
(812) 457-1204
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
26020577
IN
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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