Doctor Name: | MS. DEBORAH ADRENE HAIRSTON |
NPI Number: | 1114254364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.PH. |
License Number: | 5302410332 |
Business Practice Address: | Hwy 163, Bldg #ka-2010 U.s.p. Hs Indian Health Ctr, Kayenta, AZ - 860330000 |
Business Phone Number: | 9286974165 |
Business Fax Number: | 9286974168 |
Mailing Address: | Po Box 4409, KAYENTA |
State: | AZ |
Postal Code: | 860334409 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/09/2009 |
NPI Last Update Date: | 11/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 5302410332 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |