Provider Demographics
NPI:1598657256
Name:HAILEY, ROBERT JARED (PHARMD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:JARED
Last Name:HAILEY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6007 NW REYNOLDS ST
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72713-6098
Mailing Address - Country:US
Mailing Address - Phone:501-580-5061
Mailing Address - Fax:
Practice Address - Street 1:400 W EMMA AVE
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-4471
Practice Address - Country:US
Practice Address - Phone:479-750-2220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD17446183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist