Provider Demographics
NPI:1467722892
Name:HAYES, MARJORIE DENISE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MARJORIE
Middle Name:DENISE
Last Name:HAYES
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8951 HUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-8030
Mailing Address - Country:US
Mailing Address - Phone:727-869-7224
Mailing Address - Fax:727-869-7099
Practice Address - Street 1:8951 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-8030
Practice Address - Country:US
Practice Address - Phone:727-869-7224
Practice Address - Fax:727-869-7099
Is Sole Proprietor?:No
Enumeration Date:2012-01-02
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS036139183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist