Provider Demographics
NPI:1558691774
Name:HAYWOOD, JOAN SCHREIBER (RPH)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:SCHREIBER
Last Name:HAYWOOD
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 1:7 RIDGECLIFF CT
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21087-1253
Mailing Address - Country:US
Mailing Address - Phone:410-592-7744
Mailing Address - Fax:
Practice Address - Street 1:800 W BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1138
Practice Address - Country:US
Practice Address - Phone:410-706-8763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09639183500000X, 1835N1003X, 1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835N1003XPharmacy Service ProvidersPharmacistNutrition Support
No1835X0200XPharmacy Service ProvidersPharmacistOncology