Provider Demographics
NPI:1659609840
Name:BENDER, HALA MAGGIE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:HALA
Middle Name:MAGGIE
Last Name:BENDER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:BENDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:3018 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77414-5410
Mailing Address - Country:US
Mailing Address - Phone:979-323-7862
Mailing Address - Fax:979-323-7954
Practice Address - Street 1:3018 7TH ST
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:TX
Practice Address - Zip Code:77414-5410
Practice Address - Country:US
Practice Address - Phone:979-323-7862
Practice Address - Fax:979-323-7954
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-25
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29246183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist