Haylee Jayne Hatteberg, PHARMD
Individual provider Active NPI Pharmacist · Walker, MN
NPI 1447928320 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1447928320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 125146 (MN)
- Practice address
- 216 7TH St S
Walker, MN 56484 - Phone
- (218) 547-1016
- Fax
- (866) 939-3319
- NPI assigned
- Sep 3, 2021
- 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 |
|---|---|---|---|
| 125146 | MN | MD | Pharmacist |
| RPH6280 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Drug Stores Inc | Current |
Accepting new patients | |
| Thrifty Drug Stores Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH6280 | ND | |
| Pharmacist | 183500000X | 125146 | MN | Yes |
Addresses
Primary practice location
216 7TH St S
Walker, MN 56484
Mailing address
PO Box 1267
Walker, MN 56484
Phone (320) 226-8747
Other providers in Walker, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 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.