MEDICARE: CHRISTINA HAKL PHARMD

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	70052	CA

General Provider Information

NPI Number	:	1477942779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA HAKL PHARMD

Provider Business Mailing Address
First Line	:	742 W SHIELDS AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93705-4030
Country	:	US
Telephone Number	:	559-824-0684
Fax Number	:

Provider Business Practice Location Address
First Line	:	2424 N BRAWLEY AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722-5109
Country	:	US
Telephone Number	:	559-277-5912
Fax Number	:

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

Provider Enumeration Date	:	01/10/2015
Last Update Date	:	01/10/2015

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