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General NPI Number Information
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NPI Number | 1861792160
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Entity Type | Organization
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Legal Business Name | HAYES PHARMACY INC
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 07/08/2016
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Provider Practice Location Address
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Address Line | 5701 MAPLE AVE SUITE 100-B
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City | DALLAS
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State | TX
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Zip | 75235-6519
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Country | US
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Telephone | 214-654-4918
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Fax | 214-654-4928
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Provider Business Mailing Address
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Address Line | 501 SAMUELS AVE SUITE 110
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City | FT WORTH
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State | TX
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Zip | 76102-8641
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Country | US
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Telephone | 214-654-4918
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Fax | 214-654-4928
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUANN HAYES
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Credential |
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Telephone | 817-239-8009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 27223
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License Number State | TX
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