# HYATT'S MARKET INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053324681
- **Authorized official:** DEXTER W HEARN PHARM.D. (PHARMACY MANAGER)
- **Authorized official phone:** (256) 747-6066

## Contact information

- **Practice address:** 70 MCHANN RD, ADDISON, AL 35540-2138
- **Practice address phone:** (256) 747-6066
- **Practice address fax:** (256) 747-6046
- **Mailing address:** 70 MCHANN RD, ADDISON, AL 35540-2138
- **Mailing address phone:** (256) 747-6066
- **Mailing address fax:** (256) 747-6046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 111746 | AL | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 009961470 | MEDICAID DME NUMBER | AL |
| 01 | — | 0130031 | NABP NUMBER | AL |
| 05 | — | 100003169 | — | AL |