Provider Demographics
NPI:1215100821
Name:HAYDEN, GRETCHEN ANNE (DOCTOR OF PHARMACY)
Entity type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:ANNE
Last Name:HAYDEN
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:DR
Other - First Name:GRETCHEN
Other - Middle Name:BAKER
Other - Last Name:HAYDEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DOCTOR OF PHARMACY
Mailing Address - Street 1:325 BALLARD RD
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42066-9466
Mailing Address - Country:US
Mailing Address - Phone:270-705-8551
Mailing Address - Fax:
Practice Address - Street 1:KYCARE PHARMACY 145
Practice Address - Street 2:119 E CLAY STREET
Practice Address - City:CLINTON
Practice Address - State:KY
Practice Address - Zip Code:42031
Practice Address - Country:US
Practice Address - Phone:270-653-2151
Practice Address - Fax:270-653-2004
Is Sole Proprietor?:No
Enumeration Date:2008-04-04
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY013293183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist