Provider Demographics
NPI:1679627210
Name:HAYES, DANIEL W (RPH)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:W
Last Name:HAYES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 AGNES ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01118-1005
Mailing Address - Country:US
Mailing Address - Phone:413-737-8782
Mailing Address - Fax:
Practice Address - Street 1:67 PROSPECT HILL RD
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06088-3605
Practice Address - Country:US
Practice Address - Phone:860-623-1407
Practice Address - Fax:860-623-1640
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA14788183500000X
CT6224183500000X
NH1728183500000X
VT2831183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist