Healthcare Provider Details

I. General information

NPI: 1073427258
Provider Name (Legal Business Name): ADDISON HAYS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 HIGHWAY 28 E
PINEVILLE LA
71360-5713
US

IV. Provider business mailing address

2750 HIGHWAY 28 E
PINEVILLE LA
71360-5713
US

V. Phone/Fax

Practice location:
  • Phone: 318-229-4185
  • Fax:
Mailing address:
  • Phone: 318-229-4185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number026456
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: