MEDICARE: DANIEL FREDERIC HULL 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	5992	OR

General Provider Information

NPI Number	:	1699109678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL FREDERIC HULL RPH

Provider Business Mailing Address
First Line	:	19701 HIGHWAY 213
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-4190
Country	:	US
Telephone Number	:	503-451-7061
Fax Number	:	503-451-7999

Provider Business Practice Location Address
First Line	:	19701 HIGHWAY 213
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-4190
Country	:	US
Telephone Number	:	503-451-7061
Fax Number	:	503-451-7999

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

Provider Enumeration Date	:	08/27/2013
Last Update Date	:	08/27/2013

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