Healthcare Provider Details

I. General information

NPI: 1245373844
Provider Name (Legal Business Name): DANIEL R HINKLEY R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 E WILCOX AVE
WHITE CLOUD MI
49349-8794
US

IV. Provider business mailing address

19925 PARK RD
BIG RAPIDS MI
49307-9293
US

V. Phone/Fax

Practice location:
  • Phone: 231-689-6677
  • Fax: 231-689-3869
Mailing address:
  • Phone: 231-796-6552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302026170
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: