Provider Demographics
NPI:1821609686
Name:SUMMERS, HAYDEN CURTIS (PHARMD)
Entity Type:Individual
Prefix:
First Name:HAYDEN
Middle Name:CURTIS
Last Name:SUMMERS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 S SHERRIN AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-3853
Mailing Address - Country:US
Mailing Address - Phone:606-306-1640
Mailing Address - Fax:
Practice Address - Street 1:12101 SHELBYVILLE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-1044
Practice Address - Country:US
Practice Address - Phone:502-244-7037
Practice Address - Fax:502-244-7708
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY019511183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist