Individual
MIA DAWN ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2100 BRANDON ST SW, HUNTSVILLE, AL 35801-4503
(256) 512-0957
Mailing address
2100 BRANDON ST SW, HUNTSVILLE, AL 35801-4503
(256) 512-0957
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12976
AL
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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