Individual
BETTY BAKER HAISTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
315 MAIN ST, TRUSSVILLE, AL 35173-1452
(205) 655-8804
Mailing address
216 ASHTON AVE, TRUSSVILLE, AL 35173-1211
(205) 655-8947
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7274
AL
Other
Enumeration date
01/21/2007
Last updated
07/08/2007
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