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Individual

DANNIE MARION HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
7445 CLINTON RD, STEDMAN, NC 28391-8901
(910) 323-4555
(910) 483-0515
Mailing address
7445 CLINTON RD, PO BOX 625, STEDMAN, NC 28391-8901
(910) 323-4555
(910) 483-0515

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006899
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0265652
NC
01
1023084985
STEDMAN DRUG CENTER NPI
01
1144542994
EASTOVER DRUG LLC NPI
01
2340883A
MEDICARE MASS IMMUNIZATION ROSTER BILLER
05
7700252
NC
Enumeration date
05/31/2012
Last updated
05/31/2012
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