MEDICARE: HEATHER HAYS

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	59637	CA

General Provider Information

NPI Number	:	1811378144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER HAYS

Provider Business Mailing Address
First Line	:	927 S CHINA LAKE BLVD
Second Line	:
City	:	RIDGECREST
State	:	CA
Zip	:	93555-6315
Country	:	US
Telephone Number	:	760-384-4020
Fax Number	:	760-384-1456

Provider Business Practice Location Address
First Line	:	927 S CHINA LAKE BLVD
Second Line	:
City	:	RIDGECREST
State	:	CA
Zip	:	93555-6315
Country	:	US
Telephone Number	:	760-384-4020
Fax Number	:	760-384-1456

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

Provider Enumeration Date	:	06/11/2015
Last Update Date	:	06/11/2015

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Directions to “ HEATHER HAYS ” Practice Location

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