Individual
HEIDI IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1108 ROSS CLARK CIR FL 4, DOTHAN, AL 36301-3022
(334) 699-4300
Mailing address
1047 COUNTY ROAD 18, NEWVILLE, AL 36353-8137
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15446
AL
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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