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1174896963
IVY JEAN HAVICE
MEDFORD, OR
NPI
1174896963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 00140653)
Enumeration Date
2012-02-09
Last Update Date
2022-06-06
Business Address
Dr. IVY JEAN HAVICE pharmD
3617 S PACIFIC HWY
MEDFORD, OR 97501-8957
Phone number: 541-535-6239
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Mailing Address
Dr. IVY JEAN HAVICE pharmD
931 CHEVY WAY
MEDFORD, OR 97504-4127
Phone number:
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