Paul D Hayse

NPI #1962490185 in Carmi, Illinois

Provider Information

NPI Number: 1962490185
Entity Type: Organization
Organization Name: Paul D Hayse
Primary Specialty: Pharmacy
Enumeration Date: Oct 11, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 1400 W MAIN ST
Address 2: 202 APRIL AVENUE
City: Carmi
State: Illinois
ZIP Code: 62821-1387
Phone: (618) 382-4636

Authorized Official

Name: JERRY MAYBERRY, R.PH.
Title: PHARMACIST-IN-CHARGE/MANAGER
Phone: (618) 382-4636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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