Healthcare Provider Details

I. General information

NPI: 1578134581
Provider Name (Legal Business Name): MICHAEL B HARDLER JR. PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2021
Last Update Date: 07/09/2021
Certification Date: 07/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE
DANVILLE PA
17822-9800
US

IV. Provider business mailing address

19 HARDLER FARM RD
HONESDALE PA
18431-6598
US

V. Phone/Fax

Practice location:
  • Phone: 570-647-5967
  • Fax:
Mailing address:
  • Phone: 570-647-5967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberRP455732
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: