Individual
RAYVEN LIKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
202 W MARTIN LUTHER KING HWY, TUSKEGEE, AL 36083-2131
(334) 727-6586
Mailing address
202 W MARTIN LUTHER KING HWY, TUSKEGEE, AL 36083-2131
(334) 727-6586
(334) 727-9590
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19473
AL
390200000X
Student in an Organized Health Care Education/Training Program
7801188
AL
Other
Enumeration date
04/09/2015
Last updated
12/01/2020
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