MEDICARE: MR. DAVID W. HARDY

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	RPH016856	GA

General Provider Information

NPI Number	:	1528048725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID W. HARDY

Provider Business Mailing Address
First Line	:	PSC 482 BOX 3044
Second Line	:
City	:	FPO
State	:	OKINAWA
Zip	:	AP
Country	:	JP
Telephone Number	:	011816117437276
Fax Number	:

Provider Business Practice Location Address
First Line	:	BLDG. 6000 CAMP LESTER
Second Line	:	ATTN: PHARMACY DEPT
City	:	CHATAN-CHO, NAKAGAMI-GUN
State	:	OKINAWA
Zip	:	9040103
Country	:	JP
Telephone Number	:	011816117437557
Fax Number	:

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	07/21/2022

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