Individual
BRYAN L HAYGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2321 W LOOP 281, LONGVIEW, TX 75604-2563
(903) 297-0558
(903) 297-7496
Mailing address
2321 W LOOP 281, LONGVIEW, TX 75604-2563
(903) 297-0558
(903) 297-7496
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27620
VACCINE
TX
Enumeration date
11/09/2022
Last updated
11/09/2022
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