MEDICARE: RITA CATHERINE HAYES RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03311788	OH

General Provider Information

NPI Number	:	1417247289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITA CATHERINE HAYES RPH

Provider Business Mailing Address
First Line	:	800 DELAWARE AVE
Second Line	:
City	:	MARYSVILLE
State	:	OH
Zip	:	43040-1724
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 DELAWARE AVE
Second Line	:
City	:	MARYSVILLE
State	:	OH
Zip	:	43040-1724
Country	:	US
Telephone Number	:	937-642-3600
Fax Number	:	937-642-4826

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2011
Last Update Date	:	04/14/2011

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