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MR. HAYDEN OAKES HOUSTON RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1316008808

Individual Registrant:
MR. HAYDEN OAKES HOUSTON RPH
Gender: M
Not Sole Proprietor

Location and contact information for practice:
117 MAIN ST HEBRON PHARMACY INC HEBRON, CT 06248 US
Tel: 860-228-3888  Fax: 860-228-3391

Contact information for business:
PO BOX 155  HEBRON, CT 06248 US
Tel: 860-228-3436  Fax: --

Registration Information:
NPI: 1316008808
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CT4704

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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