Provider Demographics
NPI:1427370667
Name:HOAGLAND, HAL E (RPH)
Entity Type:Individual
Prefix:
First Name:HAL
Middle Name:E
Last Name:HOAGLAND
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 1:3300 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-3544
Mailing Address - Country:US
Mailing Address - Phone:406-494-1075
Mailing Address - Fax:406-494-1338
Practice Address - Street 1:3300 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-3544
Practice Address - Country:US
Practice Address - Phone:406-494-1075
Practice Address - Fax:406-494-1338
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-15
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3295183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist