Provider Demographics
NPI:1356736516
Name:GRIFFIN, HAILEY (PHARMD)
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:
Last Name:GRIFFIN
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 1:544 MORGAN RD
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-2524
Mailing Address - Country:US
Mailing Address - Phone:336-623-3132
Mailing Address - Fax:336-623-9127
Practice Address - Street 1:544 MORGAN RD
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-2524
Practice Address - Country:US
Practice Address - Phone:336-623-3132
Practice Address - Fax:336-623-9127
Is Sole Proprietor?:No
Enumeration Date:2015-04-03
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24292183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist