Provider Demographics
NPI:1326876061
Name:HAYES NEWARK PHARMACY LLC
Entity type:Organization
Organization Name:HAYES NEWARK PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:870-799-3411
Mailing Address - Street 1:503 VINE ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:AR
Mailing Address - Zip Code:72562-9711
Mailing Address - Country:US
Mailing Address - Phone:870-799-3411
Mailing Address - Fax:870-799-8439
Practice Address - Street 1:503 VINE ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:AR
Practice Address - Zip Code:72562-9711
Practice Address - Country:US
Practice Address - Phone:870-799-3411
Practice Address - Fax:870-799-8439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy