Individual
DR. MICAH HALLECK MATHEWS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
27520 HIGHWAY 98, PHARMACY, DAPHNE, AL 36526-4812
(251) 626-5863
(251) 626-5890
Mailing address
106 BRADBURY CIR N, DAPHNE, AL 36526-8158
(251) 786-2653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14759
AL
183500000X
Pharmacist
RPH021637
GA
Other
Enumeration date
10/20/2005
Last updated
07/08/2007
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