Individual
JERRY WAYNE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
500 JEFFERSON ST, WHITEVILLE, NC 28472-3634
(910) 642-1739
(910) 642-1730
Mailing address
500 JEFFERSON ST, WHITEVILLE, NC 28439
(910) 642-1739
(910) 642-1730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12160
NC
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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