Individual
MR. MEDFORD LAMAR HASKEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
900 RUCKER BLVD, ENTERPRISE, AL 36330-2160
(334) 393-1348
Mailing address
13612 PINE FOREST RD, ANDALUSIA, AL 36420-9263
(334) 764-2196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9211
AL
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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