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Organization

HAYES PROFESSIONAL SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER LEIGH HAYES RPH (GENERAL MANAGER)
(304) 652-3711
Entity
Organization

Contact information

Practice address
312 DIAMOND ST, SISTERSVILLE, WV 26175-1354
(304) 652-3711
(304) 652-2371
Mailing address
312 DIAMOND ST, SISTERSVILLE, WV 26175-1354
(304) 652-3711
(304) 652-2371

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
552376
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0141768000
WV
01
5011274
NCPDP
01
552376
WEST VIRGINIA STATE PHARMACY LICENSE
WV
Enumeration date
01/17/2007
Last updated
08/13/2010
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