Individual
GREGORY HAVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
GREGORY HAVELY RPH
Contact information
Practice address
12405 SE 82ND AVE, HAPPY VALLEY, OR 97086-7720
(503) 653-1526
Mailing address
12405 SE 82ND AVE, HAPPY VALLEY, OR 97086-7720
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0005853
OR
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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