MEDICARE: DR. RICHARD J. HAYDEN PHARM.D., R.PH.

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	010953	KY
2	183500000X	Pharmacist	26019441A	IN

General Provider Information

NPI Number	:	1649295163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD J. HAYDEN PHARM.D., R.PH.

Provider Business Mailing Address
First Line	:	4334 WOOD TRCE
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42303-2274
Country	:	US
Telephone Number	:	270-689-1422
Fax Number	:

Provider Business Practice Location Address
First Line	:	312 S MAIN ST
Second Line	:
City	:	HARTFORD
State	:	KY
Zip	:	42347-1129
Country	:	US
Telephone Number	:	270-298-3279
Fax Number	:	270-298-7641

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	07/08/2007

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