Provider Demographics
NPI:1194853390
Name:HOGE, WILLIAM S (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:S
Last Name:HOGE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3261 ALTA HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84093-2111
Mailing Address - Country:US
Mailing Address - Phone:801-933-2275
Mailing Address - Fax:801-933-2463
Practice Address - Street 1:9500 E LITTLE COTTONWOOD CNY RD
Practice Address - Street 2:
Practice Address - City:SNOWBIRD
Practice Address - State:UT
Practice Address - Zip Code:84092-0000
Practice Address - Country:US
Practice Address - Phone:801-933-2275
Practice Address - Fax:801-933-2463
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1383681701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist