Laura E Haynes, PHARMD
Individual provider Active NPI Pharmacist · Bismarck, MO
NPI 1013372952 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1013372952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2012023194 (MO)
- Practice address
- 1013 Cedar St Ste B
Bismarck, MO 63624-8901 - Phone
- (573) 734-8588
- Fax
- (888) 626-5925
- NPI assigned
- Dec 18, 2015
- Reactivated
- Oct 13, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012023194 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Life Pharmacy LLC | Current |
Accepting new patients | |
| Healthy Life Pharmacy LLC | Current |
Accepting new patients |
Locations
1013 Cedar St
#B
Bismarck, MO 63624
Phone (573) 734-8588
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2012023194 | MO | Yes |
Addresses
Primary practice location
1013 Cedar St Ste B
Bismarck, MO 63624-8901
Mailing address
1004 W Ridge Rd
Bonne Terre, MO 63628-8720
Phone (314) 803-2352
Other names
- Laura E Hays
Other providers in Bismarck, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.