Individual
TONY HAYNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
RR 1 BOX 245A, MARLOW, OK 73055-6858
(580) 531-5858
Mailing address
RR 1 BOX 245A, MARLOW, OK 73055-6858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9864
OK
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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