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NPI Code Detail

MEDICARE: LALIA HINSON CPHT

MEDICARE: LALIA HINSON CPHT
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
1183700000XPharmacy Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
130066476OTHERMACPHT

General Provider Information

NPI Number : 1255835278
Entity Type Code : Individual
Provider Name (Legal Business Name) : LALIA HINSON CPHT
Provider Business Mailing Address
First Line : 103 JOHNSON RD
Second Line :
City : CHICOPEE
State : MA
Zip : 01022-1063
Country : US
Telephone Number : 609-947-5307
Fax Number :
Provider Business Practice Location Address
First Line : 1616 MEMORIAL DR
Second Line :
City : CHICOPEE
State : MA
Zip : 01020-3933
Country : US
Telephone Number : 413-532-3299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2018
Last Update Date : 06/16/2018

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