Individual
GUY HAVICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8385 DIVISION RD, WHITE CITY, OR 97503-1176
(541) 500-0989
Mailing address
8385 DIVISION RD, WHITE CITY, OR 97503-1176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0010662
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0010662
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0010662
STATE PHARMACIST LICENSE
OR
Enumeration date
02/09/2012
Last updated
06/21/2023
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