Healthcare Provider Details

I. General information

NPI: 1275226771
Provider Name (Legal Business Name): HAYDEN FIELDS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 05/31/2023
Certification Date: 05/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 E BROADWAY ST
HELENA MT
59601-4928
US

IV. Provider business mailing address

1310 HAUSER BLVD
HELENA MT
59601-2308
US

V. Phone/Fax

Practice location:
  • Phone: 406-444-2547
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA-PHA-LIC-79742
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: