Individual
AUDRA L HAINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
626 BOULEVARD, COLONIAL HEIGHTS, VA 23834-3261
(804) 520-1571
(804) 520-6439
Mailing address
626 BOULEVARD, COLONIAL HEIGHTS, VA 23834-3261
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202209233
VA
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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