Provider Demographics
NPI:1386976751
Name:HAINES, JILL M (RPH)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:M
Last Name:HAINES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:J
Other - Last Name:MCFARLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:3000 ERICSSON DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WARRENDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15086
Mailing Address - Country:US
Mailing Address - Phone:724-772-6000
Mailing Address - Fax:901-261-6886
Practice Address - Street 1:3000 ERICSSON DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WARRENDALE
Practice Address - State:PA
Practice Address - Zip Code:15086-6501
Practice Address - Country:US
Practice Address - Phone:724-772-6000
Practice Address - Fax:901-261-6886
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA18815023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist