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NPI Code Detail

MEDICARE: HOGDEN ENTERPRISES INC

MEDICARE: HOGDEN ENTERPRISES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy7366042WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164925632
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOGDEN ENTERPRISES INC
Provider Business Mailing Address
First Line : PO BOX 186
Second Line :
City : BLAIR
State : WI
Zip : 54616-0186
Country : US
Telephone Number : 608-989-2919
Fax Number : 608-989-2837
Provider Business Practice Location Address
First Line : 125 W BROADWAY ST
Second Line :
City : BLAIR
State : WI
Zip : 54616-9367
Country : US
Telephone Number : 608-989-2919
Fax Number : 608-989-2837
Authorized Official
Title or Position : DIRECTOR OF PHARMACY
Name : DANIEL BEN MOLSTAD
Credential :
Telephone Number : 608-989-2919
Provider Enumeration Date : 03/12/2018
Last Update Date : 06/16/2018

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Directions to “HOGDEN ENTERPRISES INC ” Practice Location

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