Provider Demographics
NPI:1922618412
Name:HAYES, ASHLEY KEANE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KEANE
Last Name:HAYES
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 1:6551 E EL PULCRO ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-2302
Mailing Address - Country:US
Mailing Address - Phone:914-439-3653
Mailing Address - Fax:
Practice Address - Street 1:6551 E EL PULCRO ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-2302
Practice Address - Country:US
Practice Address - Phone:914-439-3653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-09
Last Update Date:2020-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA726601835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist