Provider Demographics
NPI:1952148918
Name:MARTIN, HALEY LYNN (PHARMD)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:LYNN
Last Name:MARTIN
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 16TH ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:PA
Mailing Address - Zip Code:15037-1147
Mailing Address - Country:US
Mailing Address - Phone:412-584-7807
Mailing Address - Fax:
Practice Address - Street 1:1575 S MARKET ST
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-2880
Practice Address - Country:US
Practice Address - Phone:717-367-2173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP458523183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist