Healthcare Provider Details

I. General information

NPI: 1720105752
Provider Name (Legal Business Name): GREGORY PAUL HAYES PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 10/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR CB7600
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

304 CARPENTER TOWN LN
CARY NC
27519-8147
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-7163
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14982
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: