Individual
MR. JORDAN HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4501 MACCORKLE AVE SW STE 101, SOUTH CHARLESTON, WV 25309-1444
(304) 766-8484
(304) 766-8344
Mailing address
4501 MACCORKLE AVE SW STE 101, SOUTH CHARLESTON, WV 25309-1444
(304) 766-8484
(304) 766-8344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0013997
WV
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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