Healthcare Provider Details

I. General information

NPI: 1568784361
Provider Name (Legal Business Name): BARBARA ANN HOAGLAND RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2010
Last Update Date: 02/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 HIGHWAY 66
NEPTUNE NJ
07753-4062
US

IV. Provider business mailing address

135 PINEWOOD RD
TOMS RIVER NJ
08753-2579
US

V. Phone/Fax

Practice location:
  • Phone: 732-776-8383
  • Fax: 732-775-8843
Mailing address:
  • Phone: 732-299-9486
  • Fax: 732-775-8843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RIO1644700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: