Individual
CHANDLER HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 FAIRMONT RD, WESTOVER, WV 26501-4227
(304) 296-2547
Mailing address
405 FAIRMONT RD, WESTOVER, WV 26501-4227
(304) 296-2547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0013294
WV
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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