Individual provider · NPI-1
Michael Shae Hjelden
Pharmacy Technician · Eagle River, AK
NPI number1346627932
StatusActive
Last updated in NPPESMay 3, 2015
Details
- NPI
- 1346627932
- Entity type
- Individual (NPI-1)
- Name
- Michael Shae Hjelden
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 3, 2015
- Last updated
- May 3, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | – | – | Yes |
Practice location
16173 Stineburg DrEagle River, AK 99577-6724
Phone 907-854-3083
Mailing address
16173 Stineburg DrEagle River, AK 99577-6724
Phone 907-854-3083
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