Provider Demographics
NPI:1588801344
Name:HULM, LEANNE MARIE (PHARMD, RPH)
Entity Type:Individual
Prefix:MRS
First Name:LEANNE
Middle Name:MARIE
Last Name:HULM
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:LEANNE
Other - Middle Name:MARIE
Other - Last Name:RATHJEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:835 S WASHINGTON ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-5416
Mailing Address - Country:US
Mailing Address - Phone:701-223-1656
Mailing Address - Fax:701-223-9628
Practice Address - Street 1:835 S WASHINGTON ST
Practice Address - Street 2:SUITE 2
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-5416
Practice Address - Country:US
Practice Address - Phone:701-223-1656
Practice Address - Fax:701-223-9628
Is Sole Proprietor?:No
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND5129183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist