Individual
DR. JESSE LEIGH HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
601 BRIDGE ST, EAST JORDAN, MI 49727-9383
(231) 536-2206
Mailing address
601 BRIDGE ST, EAST JORDAN, MI 49727-9383
(231) 536-2206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202211062
VA
183500000X
Pharmacist
051.297564
IL
183500000X
Pharmacist
Primary
26023426A
IN
183500000X
Pharmacist
5302044126
MI
183500000X
Pharmacist
RP0007646
WV
Other
Enumeration date
11/13/2015
Last updated
05/07/2019
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