Individual
VICKY MASSEY HAVRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2001 CECIL ASHBURN DR SE, HUNTSVILLE, AL 35802-2557
(256) 880-1470
Mailing address
402 LEGACY FARM DR SE, HUNTSVILLE, AL 35802-2591
(256) 683-0770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11584
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11584
PHARMACIST
AL
Enumeration date
11/30/2020
Last updated
11/30/2020
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