Individual
BRIDGET BEAUSHA IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4851 WHITESBURG DR SE, HUNTSVILLE, AL 35802-1626
(256) 650-2396
Mailing address
301 E 11TH ST SE, ROME, GA 30161-6219
(706) 936-8561
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21388
AL
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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