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Individual

CHERYL E HAYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
322 BENNETT ST, ISLAND, ONLY ADDRESSES PONUMBERS-POB 1421, WRANGELL, AK 99929
(907) 874-5005
Mailing address
PO BOX 1222, WRANGELL, AK 99929-1222
(907) 347-2394

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
13335
AL
183500000X
Pharmacist
Primary
1816
AK
183500000X
Pharmacist
26472
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1816
STATE OF ALASKA BOARD OF PHARMACY
AK
Enumeration date
11/20/2009
Last updated
01/12/2010
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