Individual
GEORGE R HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
701 N CLAYTON ST, PHARMACY, WILMINGTON, DE 19805-3165
(302) 421-4295
Mailing address
4617 SIR GALAHAD DR, BROOKHAVEN, PA 19015-1527
(610) 447-8875
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP044807L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1-0003916
PHARMACIST LICENSE
DE
01
—
RP044807L
PHARMACIST LICENSE
PA
Enumeration date
07/07/2005
Last updated
07/17/2013
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