Individual
KEVIN J HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2600 CENTER ST NE, PHARMACY DEPARTMENT, SALEM, OR 97301-2669
(503) 947-2397
Mailing address
2600 CENTER ST NE, PHARMACY DEPARTMENT, SALEM, OR 97301-2669
(503) 947-2397
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0014333
OR
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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