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NPI Code Detail

MEDICARE: MR. HARVEY H HAYNES RPH

MEDICARE: MR. HARVEY H HAYNES RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist027983MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1027983OTHERMOMISSOURI PHARMACY LICENSE NUMBER

General Provider Information

NPI Number : 1285975037
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HARVEY H HAYNES RPH
Provider Business Mailing Address
First Line : 500 NE BARRY RD
Second Line : PRICE CHOPPER PHARMACY
City : KANSAS CITY
State : MO
Zip : 64155-2879
Country : US
Telephone Number : 816-468-7666
Fax Number : 816-436-0403
Provider Business Practice Location Address
First Line : 500 NE BARRY RD
Second Line : PRICE CHOPPER PHARMACY
City : KANSAS CITY
State : MO
Zip : 64155-2879
Country : US
Telephone Number : 816-468-7666
Fax Number : 816-436-0403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2013
Last Update Date : 03/04/2013

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