Individual
XILEI HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-1111
Mailing address
223 E 10TH ST, THE DALLES, OR 97058-1965
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019802
OR
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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