Provider Demographics
NPI:1013520907
Name:HYER, CHASE MAHON (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHASE
Middle Name:MAHON
Last Name:HYER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 NW 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-1204
Mailing Address - Country:US
Mailing Address - Phone:813-455-9789
Mailing Address - Fax:
Practice Address - Street 1:642 NE 3RD ST
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-4702
Practice Address - Country:US
Practice Address - Phone:541-312-6486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0017614183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist