Provider Demographics
NPI:1376762666
Name:HAYS, DUSTIN (RPH)
Entity Type:Individual
Prefix:
First Name:DUSTIN
Middle Name:
Last Name:HAYS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:754 FM 368 S
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAY
Mailing Address - State:TX
Mailing Address - Zip Code:76366-3848
Mailing Address - Country:US
Mailing Address - Phone:940-631-1534
Mailing Address - Fax:
Practice Address - Street 1:754 FM 368 S
Practice Address - Street 2:
Practice Address - City:HOLLIDAY
Practice Address - State:TX
Practice Address - Zip Code:76366-3848
Practice Address - Country:US
Practice Address - Phone:940-631-1534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40636183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist