Provider Demographics
NPI:1285674937
Name:HARDING & HILL INC
Entity Type:Organization
Organization Name:HARDING & HILL INC
Other - Org Name:HARDINGS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GUSTAVSON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:269-492-2919
Mailing Address - Street 1:211 E BANNISTER ST
Mailing Address - Street 2:
Mailing Address - City:PLAINWELL
Mailing Address - State:MI
Mailing Address - Zip Code:49080-1372
Mailing Address - Country:US
Mailing Address - Phone:269-685-4164
Mailing Address - Fax:269-685-5383
Practice Address - Street 1:114 S FARMER ST
Practice Address - Street 2:
Practice Address - City:OTSEGO
Practice Address - State:MI
Practice Address - Zip Code:49078-1152
Practice Address - Country:US
Practice Address - Phone:269-692-6011
Practice Address - Fax:269-692-2016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
MI53010076533336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2046213OtherPK
MI1285674937Medicaid
MI1285674937Medicaid