Healthcare Provider Details

I. General information

NPI: 1427370667
Provider Name (Legal Business Name): HAL E HOAGLAND RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2010
Last Update Date: 02/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 HARRISON AVE
BUTTE MT
59701-3544
US

IV. Provider business mailing address

3300 HARRISON AVE
BUTTE MT
59701-3544
US

V. Phone/Fax

Practice location:
  • Phone: 406-494-1075
  • Fax: 406-494-1338
Mailing address:
  • Phone: 406-494-1075
  • Fax: 406-494-1338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3295
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: