Provider Demographics
NPI:1508842642
Name:HAYES, DENNIS L (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:L
Last Name:HAYES
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9022 NE 160TH PL
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-7417
Mailing Address - Country:US
Mailing Address - Phone:425-398-5620
Mailing Address - Fax:
Practice Address - Street 1:6619 132ND AVE NE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-8627
Practice Address - Country:US
Practice Address - Phone:425-881-5544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00015452183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist