Provider Demographics
NPI:1982133146
Name:HAY, PAMELA JUNE (RPH)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:JUNE
Last Name:HAY
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 1:735 MCMILLAN ROAD CLEMSON UNIVERSITY
Mailing Address - Street 2:
Mailing Address - City:CLEMSON
Mailing Address - State:SC
Mailing Address - Zip Code:29634-4054
Mailing Address - Country:US
Mailing Address - Phone:864-656-3562
Mailing Address - Fax:864-656-2500
Practice Address - Street 1:735 MCMILLAN ROAD
Practice Address - Street 2:CLEMSON UNIVERSITY
Practice Address - City:CLEMSON
Practice Address - State:SC
Practice Address - Zip Code:29634-4054
Practice Address - Country:US
Practice Address - Phone:864-656-3562
Practice Address - Fax:864-656-3562
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2017-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist