Provider Demographics
NPI:1568042141
Name:ANDREWS, HALEY T (PHARMD)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:T
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 MIDLOTHIAN DR
Mailing Address - Street 2:
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-3411
Mailing Address - Country:US
Mailing Address - Phone:626-390-1180
Mailing Address - Fax:
Practice Address - Street 1:26520 CACTUS AVENUE
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92555
Practice Address - Country:US
Practice Address - Phone:951-486-5791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82723183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist