Individual
DEREK HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
947 POWELL AVE SW STE 100, RENTON, WA 98057-2975
(425) 203-0976
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61081205
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IR60698082
PHARMACIST INTERN REGISTRATION
WA
Enumeration date
08/26/2018
Last updated
12/30/2024
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