Individual
BRET DONALD HUXTABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1650 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403-0961
(928) 855-9200
Mailing address
3820 BREAKWATER DR, LAKE HAVASU CITY, AZ 86406-4357
(406) 274-6911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S026597
AZ
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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