NPI 1033254552

Gerald Wayne Haynes, DPH

Practitioner Pharmacist Cookeville, TN

Practice location

Address: 1200 S Willow Ave, Cookeville, TN 38506-4157
Phone: (931) 432-0890
Mailing address: 3631 Brookstone Dr, Cookeville, TN 38506-5810

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5348 (TN)

Other Pharmacist providers in Tennessee →

Registry record

NPI: 1033254552
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.