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NPI Code Detail

MEDICARE: HANNAH HAYNES PHARMD

MEDICARE: HANNAH HAYNES PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRP00010180NM

General Provider Information

NPI Number : 1013748292
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH HAYNES PHARMD
Provider Business Mailing Address
First Line : 8205 GRAPE ARBOR CT NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87122-1012
Country : US
Telephone Number : 505-382-4352
Fax Number :
Provider Business Practice Location Address
First Line : 4700 TRAMWAY BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-2979
Country : US
Telephone Number : 505-292-5484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2024
Last Update Date : 06/15/2026

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Directions to “ HANNAH HAYNES PHARMD” Practice Location

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