Provider Demographics
NPI:1003164500
Name:MCHALE, DENNIS HENRY (RPH)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:HENRY
Last Name:MCHALE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 N BURLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-4419
Mailing Address - Country:US
Mailing Address - Phone:402-463-4554
Mailing Address - Fax:
Practice Address - Street 1:705 N BURLINGTON AVE
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-4419
Practice Address - Country:US
Practice Address - Phone:402-463-4554
Practice Address - Fax:402-463-4866
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-15
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8177183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist