Individual
MARK ALLEN HAYWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4849 POLLACK AVE, EVANSVILLE, IN 47715-5750
(812) 962-4664
Mailing address
4849 POLLACK AVE, EVANSVILLE, IN 47715-5750
(812) 962-4664
(812) 962-4660
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26020577A
IN
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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