Individual
DR. PAIGE PETTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
298 HUGHES RD, MADISON, AL 35758-1112
(256) 464-3962
(256) 464-9654
Mailing address
298 HUGHES RD, MADISON, AL 35758-1112
(256) 464-3962
(256) 464-9654
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17031
AL
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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