Organization
HALEY DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WAYNE HALEY DPH (PHARMACIST OWNER)
(580) 342-6691
Entity
Organization
Contact information
Practice address
102 S COMMERCIAL ST, TEMPLE, OK 73568-0130
(580) 342-6691
(580) 342-6452
Mailing address
PO BOX 130, TEMPLE, OK 73568-0130
(580) 342-6691
(580) 342-6452
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
651293
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3707950
NABP
OK
Enumeration date
02/21/2007
Last updated
08/22/2020
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