Individual
LATASHA HAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3948 AIRPORT BLVD, MOBILE, AL 36608-1624
(251) 345-3394
Mailing address
3948 AIRPORT BLVD, MOBILE, AL 36608-1624
(251) 345-3394
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17863
AL
Other
Enumeration date
09/18/2016
Last updated
09/18/2016
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