Individual
DARDEN HERITAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
704 PRATT AVE NE, HUNTSVILLE, AL 35801-3644
(256) 534-1118
(256) 534-1121
Mailing address
704 PRATT AVE NE, HUNTSVILLE, AL 35801-3644
(256) 534-1118
(256) 534-1121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111666
AL
Other
Enumeration date
10/13/2006
Last updated
02/22/2017
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