Individual
GEORGE LAMARE HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1313 ROXBURY CT, JACKSON, MS 39211-6368
(601) 259-8603
Mailing address
1313 ROXBURY CT, JACKSON, MS 39211-6368
(601) 259-8603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
E-16594
MS
183500000X
Pharmacist
Primary
PST.024482
LA
Other
Enumeration date
01/24/2021
Last updated
03/17/2023
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