Individual
MR. OLIVER ALAN HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
601 HIGHWAY 6 W, IOWA CITY, IA 52246-2292
(319) 338-0581
Mailing address
604 PONDS COURT, TIFFIN, IA 52340
(319) 545-8454
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14915
IA
1835G0303X
Geriatric Pharmacist
14915
IA
1835P1300X
Psychiatric Pharmacist
14915
IA
Other
Enumeration date
08/14/2006
Last updated
08/10/2007
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