Organization
HAIRE DRUG COMPANY
Active
Other names
Haire Drug Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY CHARLES HAIRE R.PH. (OWNER)
(662) 843-4211
Entity
Organization
Contact information
Practice address
805 1ST ST, CLEVELAND, MS 38732-2309
(662) 843-4211
(662) 843-0919
Mailing address
PO BOX 1738, CLEVELAND, MS 38732-1738
(662) 843-4211
(662) 843-0919
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E06395
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330219
—
MS
01
—
2508349
NABP
MS
Enumeration date
09/07/2005
Last updated
05/13/2009
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