Provider Demographics
NPI:1194000893
Name:HOYES, MANDI (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:MANDI
Middle Name:
Last Name:HOYES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:MANDI
Other - Middle Name:
Other - Last Name:HARGROVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:11001 S EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2954
Mailing Address - Country:US
Mailing Address - Phone:702-948-8355
Mailing Address - Fax:702-948-8352
Practice Address - Street 1:11001 S EASTERN AVE
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2954
Practice Address - Country:US
Practice Address - Phone:702-948-8355
Practice Address - Fax:702-948-8352
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV16498183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist