MEDICARE: SCOTT HAY PHARM D, RPH

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
1	183500000X	Pharmacist	PS43740	FL

General Provider Information

NPI Number	:	1366868507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT HAY PHARM D, RPH

Provider Business Mailing Address
First Line	:	1141 N DIXIE FWY
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-6069
Country	:	US
Telephone Number	:	386-427-3459
Fax Number	:	386-423-2052

Provider Business Practice Location Address
First Line	:	1141 N DIXIE FWY
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-6069
Country	:	US
Telephone Number	:	386-427-3459
Fax Number	:	386-423-2052

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2014
Last Update Date	:	07/21/2022

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