Provider Demographics
NPI:1184264129
Name:HAYWORTH, SLOAN ALYSSA (RPH)
Entity type:Individual
Prefix:
First Name:SLOAN
Middle Name:ALYSSA
Last Name:HAYWORTH
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 1:3715 BURTON RD
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360-8016
Mailing Address - Country:US
Mailing Address - Phone:338-870-1917
Mailing Address - Fax:
Practice Address - Street 1:1119 EASTCHESTER DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-3113
Practice Address - Country:US
Practice Address - Phone:336-881-3125
Practice Address - Fax:336-885-1708
Is Sole Proprietor?:No
Enumeration Date:2020-01-07
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29222183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist