Provider Demographics
NPI:1144590654
Name:HULL, PAULA MARIE (RPH)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:MARIE
Last Name:HULL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12929 TIMBERLINE DR
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50323-1717
Mailing Address - Country:US
Mailing Address - Phone:515-254-9081
Mailing Address - Fax:
Practice Address - Street 1:104 E EUCLID AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50313-4507
Practice Address - Country:US
Practice Address - Phone:515-243-0601
Practice Address - Fax:515-288-8640
Is Sole Proprietor?:No
Enumeration Date:2012-01-01
Last Update Date:2012-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA17746183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist