Provider Demographics
NPI:1174858203
Name:HOPE, CHAD (PHARMD)
Entity type:Individual
Prefix:MR
First Name:CHAD
Middle Name:
Last Name:HOPE
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 1:4501 BUSINESS PARK BLVD
Mailing Address - Street 2:BUILDING L, SUITE 24
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-7119
Mailing Address - Country:US
Mailing Address - Phone:907-334-2654
Mailing Address - Fax:907-561-1684
Practice Address - Street 1:4501 BUSINESS PARK BLVD
Practice Address - Street 2:BUILDING L, SUITE 24
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-7119
Practice Address - Country:US
Practice Address - Phone:907-334-2654
Practice Address - Fax:907-561-1684
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1767183500000X
MI5302033990183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist