Organization
MICHAEL HAINES INC.
Active
Other names
Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MICHAEL HAINES RPH (PHARMACIST)
(503) 538-0147
Entity
Organization
Contact information
Practice address
502 VILLA RD, NEWBERG, OR 97132-1860
(503) 538-0147
(503) 538-8608
Mailing address
502 VILLA RD, NEWBERG, OR 97132-1860
(503) 538-0147
(503) 538-8608
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0000958-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113803
—
OR
Enumeration date
12/11/2008
Last updated
12/11/2008
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