NPI Code Details Logo

NPI 1407739360

NPI 1407739360 : HAILEY MARIE YORK PHARMD : YPSILANTI, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1407739360
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    HAILEY MARIE YORK PHARMD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/29/2025
-----------------------------------------------------
    Last Update Date     |    07/29/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5301 MCAULEY DR 
-----------------------------------------------------
    City                 |    YPSILANTI
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48197-1051
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    734-712-3456
-----------------------------------------------------
    Fax                  |    734-712-8619
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1317 WINDING RIDGE DR APT 1B 
-----------------------------------------------------
    City                 |    GRAND BLANC
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48439-7554
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    183500000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacist
-----------------------------------------------------
    License Number       |    5302417779
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.