Healthcare Provider Details

I. General information

NPI: 1912828500
Provider Name (Legal Business Name): HALLEY BEAL HANEY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 WOODMAN DR
DAYTON OH
45431-2731
US

IV. Provider business mailing address

2300 MALLARD LN APT 1
BEAVERCREEK OH
45431-3606
US

V. Phone/Fax

Practice location:
  • Phone: 937-535-5800
  • Fax:
Mailing address:
  • Phone: 937-360-4470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03447011
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: