Provider Demographics
NPI:1104439363
Name:HOOKS, HAYLEY ROXANN (PHARMACIST)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:ROXANN
Last Name:HOOKS
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 DOVER ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-6739
Mailing Address - Country:US
Mailing Address - Phone:802-777-5517
Mailing Address - Fax:
Practice Address - Street 1:KINNEY DRUGS
Practice Address - Street 2:82 PEARL STREET
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452
Practice Address - Country:US
Practice Address - Phone:802-878-5297
Practice Address - Fax:802-878-6772
Is Sole Proprietor?:No
Enumeration Date:2020-08-27
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT3537183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist