Provider Demographics
NPI:1134711906
Name:HULGAN, BRETT BENSON (PHARM D)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:BENSON
Last Name:HULGAN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35950-1761
Mailing Address - Country:US
Mailing Address - Phone:256-878-1514
Mailing Address - Fax:256-891-3155
Practice Address - Street 1:422 N BROAD ST
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35950-1761
Practice Address - Country:US
Practice Address - Phone:256-878-1514
Practice Address - Fax:256-891-3155
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15221183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist