Individual
ANDREA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 W LOOP 289, LUBBOCK, TX 79416-4200
(806) 793-3001
Mailing address
702 W LOOP 289, LUBBOCK, TX 79416-4200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48682
TX
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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