Organization
HAMILTON YORK HALEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMILTON YORK HALEY D. PH. (PHARMACIST OWNER)
(731) 677-2155
Entity
Organization
Contact information
Practice address
632 MAIN ST, FRIENDSHIP, TN 38034-1966
(731) 677-2155
(731) 677-2252
Mailing address
632 MAIN ST, P.O. BOX 66, FRIENDSHIP, TN 38034-1966
(731) 677-2155
(731) 677-2252
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3078
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3078
PHARMACY LICENSE
TN
05
—
4406446
—
TN
Enumeration date
02/13/2007
Last updated
03/22/2013
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