Provider Demographics
NPI:1639257652
Name:HAILER, MARY E (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:E
Last Name:HAILER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4466 SALSBURY LN
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-5207
Mailing Address - Country:US
Mailing Address - Phone:330-375-3375
Mailing Address - Fax:330-375-7622
Practice Address - Street 1:525 E. MARKET ST
Practice Address - Street 2:PHARMACY DEPT.
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44309-2090
Practice Address - Country:US
Practice Address - Phone:330-375-3375
Practice Address - Fax:330-375-7622
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-105881835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy