MEDICARE: DR. MICHAEL D HOGUE PHARMD

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
1	183500000X	Pharmacist	13134	AL

General Provider Information

NPI Number	:	1316933906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL D HOGUE PHARMD

Provider Business Mailing Address
First Line	:	1011 CHERRY BLOSSOM LN
Second Line	:
City	:	MOUNT OLIVE
State	:	AL
Zip	:	35117-3482
Country	:	US
Telephone Number	:	205-726-4472
Fax Number	:	205-726-2669

Provider Business Practice Location Address
First Line	:	800 LAKESHORE DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35229-0001
Country	:	US
Telephone Number	:	205-726-4472
Fax Number	:	205-726-2669

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	07/08/2007

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