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Individual

DRACO RODREGAS HAYSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
6672 E SHELBY DR, MEMPHIS, TN 38141-8439
(901) 368-6675
Mailing address
5335 HIGHWAY 309 S, BYHALIA, MS 38611-8701
(662) 564-2274

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11798
TN
183500000X
Pharmacist
E-09474
MS

Other

Enumeration date
09/23/2011
Last updated
09/23/2011
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