Individual
GARY HAWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1700 GEARY ST SE, ALBANY, OR 97322-6842
(541) 812-5533
(541) 812-5545
Mailing address
1700 GEARY ST SE, ALBANY, OR 97322-6842
(541) 812-5533
(541) 812-5545
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0007627
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
7627
OR
Other
Enumeration date
12/29/2015
Last updated
10/04/2016
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