Haynes, George R

Haynes, George R is an individual health care provider with primary practice located at 701 N Clayton St Pharmacy, Wilmington DE 19805-3165. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Haynes, George R can be contacted via phone (302) 421-4295.

Contact Information

Primary practice address
701 N Clayton St Pharmacy Wilmington DE 19805-3165
Phone: (302) 421-4295
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP044807L Pennsylvania

Profile Details

NPI number 1952308629
LBN Legal business name Haynes, George R
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 17th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952308629 NPPES
Pennsylvania Other RP044807L PHARMACIST LICENSE
Pennsylvania Other A1-0003916 PHARMACIST LICENSE

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