Provider Demographics
NPI:1205163227
Name:HOGGARD, RASHAAN THOMAS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RASHAAN
Middle Name:THOMAS
Last Name:HOGGARD
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 1:5136 BAY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-6771
Mailing Address - Country:US
Mailing Address - Phone:817-601-5228
Mailing Address - Fax:
Practice Address - Street 1:5136 BAY VIEW DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-6771
Practice Address - Country:US
Practice Address - Phone:817-601-5228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40783183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist