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NPI Code Detail

MEDICARE: ASHLAN HIETALA PHARMD

MEDICARE: ASHLAN HIETALA 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
1183500000XPharmacist03443465OH

General Provider Information

NPI Number : 1851174528
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLAN HIETALA PHARMD
Provider Business Mailing Address
First Line : 1320 W MAIN ST
Second Line :
City : NEWARK
State : OH
Zip : 43055-1822
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1320 W MAIN ST
Second Line :
City : NEWARK
State : OH
Zip : 43055-1822
Country : US
Telephone Number : 220-564-4540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2023
Last Update Date : 04/22/2026

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Directions to “ ASHLAN HIETALA PHARMD” Practice Location

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