NPI 1336613082

Carter Havican

Practitioner Pharmacist New London, WI

Practice location

Address: 1405 Mill St, New London, WI 54961-2155
Phone: (920) 531-2400

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 19633 (WI)

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Registry record

NPI: 1336613082
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jan 2019
Record last updated: 17 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.