Mary A Hayden, RPH

Individual provider Active NPI Pharmacist · Youngwood, PA

NPI 1366635617 · NPPES record last updated Aug 21, 2007

Key facts

NPI
1366635617
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP032996L (PA)
Practice address
505 N 4TH St
Youngwood, PA 15697-1558
Phone
(724) 925-1400
Fax
(724) 925-1430
NPI assigned
Aug 21, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP032996LPAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP032996L PA Yes

Addresses

Primary practice location

505 N 4TH St
Youngwood, PA 15697-1558

Mailing address

735 Farview Dr
Greensburg, PA 15601-4616
Phone (724) 583-6602

Other providers in Youngwood, PA

All providers in Youngwood, PA · Pharmacist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.