Individual provider · NPI-1
Hayden Wade Collier, pharm D
Pharmacist · Loxahatchee, FL
NPI number1255784989
StatusActive
Last updated in NPPESJul 18, 2016
Details
- NPI
- 1255784989
- Entity type
- Individual (NPI-1)
- Name
- Hayden Wade Collier
- Credential
- pharm D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2016
- Last updated
- Jul 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PS55063 | FL | Yes |
Practice location
15940 Orange BlvdLoxahatchee, FL 33470-3442
Phone 561-899-1379
Mailing address
15940 Orange BlvdLoxahatchee, FL 33470-3442
Phone 561-899-1379
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