Individual
DR. DAVID HAYNES BETTS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2470 W MASON ST, GREEN BAY, WI 54303-4711
(920) 494-0536
(920) 494-1131
Mailing address
2104 MEMORIAL DR APT 105, HOWARD, WI 54303-1291
(847) 848-1911
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
19547-40
WI
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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