Healthcare Provider Details
I. General information
NPI: 1831714971
Provider Name (Legal Business Name): LAURA LYNN HAYES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/15/2020
Last Update Date: 02/19/2024
Certification Date: 02/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1001 YOSEMITE ST
DENVER CO
80230-6003
US
IV. Provider business mailing address
12600 ALBROOK DR
DENVER CO
80239-4604
US
V. Phone/Fax
- Phone: 303-602-5697
- Fax:
- Phone: 303-602-5697
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | PHA.0022782 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835P2201X |
| Taxonomy | Ambulatory Care Pharmacist |
| License Number | PHA.0022782 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: