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NPI Code Detail

MEDICARE: MR. WILLIAM S HOGE RPH

MEDICARE:  MR. WILLIAM S HOGE  RPH
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
1183500000XPharmacist1383681701UT

General Provider Information

NPI Number : 1194853390
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM S HOGE RPH
Provider Business Mailing Address
First Line : 3261 ALTA HILLS DR
Second Line :
City : SANDY
State : UT
Zip : 84093-2111
Country : US
Telephone Number : 801-933-2275
Fax Number : 801-933-2463
Provider Business Practice Location Address
First Line : 9500 E LITTLE COTTONWOOD CNY RD
Second Line :
City : SNOWBIRD
State : UT
Zip : 84092-0000
Country : US
Telephone Number : 801-933-2275
Fax Number : 801-933-2463
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 07/08/2007

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Directions to “ MR. WILLIAM S HOGE RPH” Practice Location

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