Healthcare Provider Details

I. General information

NPI: 1639257652
Provider Name (Legal Business Name): MARY E. HAILER PHARMD, RPH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E. MARKET ST PHARMACY DEPT.
AKRON OH
44309-2090
US

IV. Provider business mailing address

4466 SALSBURY LN
STOW OH
44224-5207
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-3375
  • Fax: 330-375-7622
Mailing address:
  • Phone: 330-375-3375
  • Fax: 330-375-7622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number03-3-10588
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: