Provider Demographics
NPI:1871217992
Name:HAIRE, EUGENIA A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EUGENIA
Middle Name:A
Last Name:HAIRE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 W RESERVOIR RD
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22664-1001
Mailing Address - Country:US
Mailing Address - Phone:540-459-8311
Mailing Address - Fax:
Practice Address - Street 1:221 W RESERVOIR RD
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:VA
Practice Address - Zip Code:22664-1001
Practice Address - Country:US
Practice Address - Phone:540-459-8311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202219784183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist