Provider Demographics
NPI:1841271350
Name:HAYS EAST ALBANY PHARMACY, INC
Entity type:Organization
Organization Name:HAYS EAST ALBANY PHARMACY, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:HAYS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:229-432-2368
Mailing Address - Street 1:2205 E OGLETHORPE BLVD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31705-2939
Mailing Address - Country:US
Mailing Address - Phone:229-432-2368
Mailing Address - Fax:229-438-9298
Practice Address - Street 1:2205 E OGLETHORPE BLVD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31705-2939
Practice Address - Country:US
Practice Address - Phone:229-432-2368
Practice Address - Fax:229-438-9298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE006665332B00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00326741AMedicaid