Individual
ELLIE HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 RAILROAD ST, SAINT MARYS, PA 15857-1798
(814) 834-7915
Mailing address
174 GRACE RD, SAINT MARYS, PA 15857-2938
(814) 594-1073
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30066348
PA
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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