MEDICARE: DR. JOSEPH MICHAEL HEJL 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
1	183500000X	Pharmacist	26029587A	IN

General Provider Information

NPI Number	:	1265189567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH MICHAEL HEJL RPH

Provider Business Mailing Address
First Line	:	11910 W 90TH AVE
Second Line	:
City	:	SAINT JOHN
State	:	IN
Zip	:	46373-9291
Country	:	US
Telephone Number	:	219-363-7711
Fax Number	:

Provider Business Practice Location Address
First Line	:	1704 E COMMERCIAL AVE
Second Line	:
City	:	LOWELL
State	:	IN
Zip	:	46356-2111
Country	:	US
Telephone Number	:	219-696-6638
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2022
Last Update Date	:	03/07/2022

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