NPI 1114897378

Vance Haines

Practitioner Pharmacist Lebanon, OR

Practice location

Address: 3290 S Santiam Hwy, Lebanon, OR 97355-3737
Phone: (541) 841-9462
Mailing address: 30721 Butte Creek Rd, Lebanon, OR 97355-9238

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH-0020807 (OR)

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Registry record

NPI: 1114897378
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Nov 2025
Record last updated: 11 Nov 2025

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.