Provider Demographics
NPI:1023993573
Name:MULLINAX, HALEY (PHARMD)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:MULLINAX
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:GA
Mailing Address - Zip Code:30143-1500
Mailing Address - Country:US
Mailing Address - Phone:706-692-6427
Mailing Address - Fax:706-692-3121
Practice Address - Street 1:1 N MAIN ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:GA
Practice Address - Zip Code:30143-1566
Practice Address - Country:US
Practice Address - Phone:706-692-6427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH035610183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist