Susan K Hallen
Individual provider Active NPI Pharmacist · Hettinger, ND
NPI 1154535151 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154535151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2998 (ND)
- Practice address
- 603 N 4TH St
Hettinger, ND 58639-0808 - Phone
- (701) 567-2292
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2998 | ND | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2998 | ND | Yes |
Addresses
Primary practice location
603 N 4TH St
Hettinger, ND 58639-0808
Mailing address
PO Box 808
603 N 4TH St
Hettinger, ND 58639-0808
Phone (701) 567-2292
Other names
- Susan K Hallen
Other providers in Hettinger, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.