Provider Demographics
NPI:1376980995
Name:HAINES, PAULA CLAYTON (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:CLAYTON
Last Name:HAINES
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 ABERDEEN RD
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-2607
Mailing Address - Country:US
Mailing Address - Phone:910-997-1089
Mailing Address - Fax:
Practice Address - Street 1:1110 ABERDEEN RD
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-2607
Practice Address - Country:US
Practice Address - Phone:910-997-1089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC62691835P0018X
NC1835POO18X1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6269OtherPHARMACIST LICENSE