Individual
HAILEY ELLIOTT HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1326 PLANTATION RD NE, ROANOKE, VA 24012-5713
(800) 227-6337
(188) 843-6911
Mailing address
1326 PLANTATION RD NE, ROANOKE, VA 24012-5713
(800) 227-6337
(188) 843-6911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207539
VA
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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