Provider Demographics
NPI:1033127857
Name:HAYES, DENISE BETH (RPH, MS, CCP)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:BETH
Last Name:HAYES
Suffix:
Gender:
Credentials:RPH, MS, CCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2627 MARINERS WAY SE
Mailing Address - Street 2:
Mailing Address - City:SOUTHPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28461-8512
Mailing Address - Country:US
Mailing Address - Phone:201-755-6057
Mailing Address - Fax:201-253-1892
Practice Address - Street 1:2571 ST JAMES DR UNIT 102C
Practice Address - Street 2:
Practice Address - City:SOUTHPORT
Practice Address - State:NC
Practice Address - Zip Code:28461-8201
Practice Address - Country:US
Practice Address - Phone:910-946-7999
Practice Address - Fax:201-253-1892
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26733183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist