Provider Demographics
NPI:1821719279
Name:HASTINGS, MCKAYLA ERIN (RPH)
Entity Type:Individual
Prefix:
First Name:MCKAYLA
Middle Name:ERIN
Last Name:HASTINGS
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 1:4176 GAINES BASIN RD
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:NY
Mailing Address - Zip Code:14411-9356
Mailing Address - Country:US
Mailing Address - Phone:585-331-9004
Mailing Address - Fax:
Practice Address - Street 1:4176 GAINES BASIN RD
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-9356
Practice Address - Country:US
Practice Address - Phone:585-331-6212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI069466183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist