Provider Demographics
NPI:1366635617
Name:HAYDEN, MARY A (RPH)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:A
Last Name:HAYDEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 FARVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4616
Mailing Address - Country:US
Mailing Address - Phone:724-583-6602
Mailing Address - Fax:724-925-1430
Practice Address - Street 1:505 N 4TH ST
Practice Address - Street 2:
Practice Address - City:YOUNGWOOD
Practice Address - State:PA
Practice Address - Zip Code:15697-1558
Practice Address - Country:US
Practice Address - Phone:724-925-1400
Practice Address - Fax:724-925-1430
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP032996L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist