Individual
HENRY THOMAS HAYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1200 WARD AVE, CARUTHERSVILLE, MO 63830-2204
(800) 626-6934
(573) 333-2843
Mailing address
1200 WARD AVE, CARUTHERSVILLE, MO 63830-2204
(800) 626-6934
(573) 333-2843
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
027636
MO
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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