Individual
HASKEW PAGE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(205) 939-7094
Mailing address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(205) 939-7094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15378
AL
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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