Provider Demographics
NPI:1851597850
Name:HINKLE, STEVEN O (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:O
Last Name:HINKLE
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 1:236 RIVERVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404-1432
Mailing Address - Country:US
Mailing Address - Phone:406-761-0782
Mailing Address - Fax:406-761-0782
Practice Address - Street 1:#20 3D ST N
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404
Practice Address - Country:US
Practice Address - Phone:406-454-2399
Practice Address - Fax:406-454-3651
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2214183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist