| Doctor Name: | MICHAEL RALPH CHASE |
| NPI Number: | 1932378007 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.PH |
| License Number: | 3470 |
| Business Practice Address: | 30 Main Rd W Hazen, ND - 58545 |
| Business Phone Number: | 7017482312 |
| Business Fax Number: | 7017482637 |
| Mailing Address: | 612 4th St Ne, HAZEN |
| State: | ND |
| Postal Code: | 585454605 |
| Phone Number: | 7017486281 |
| Fax Number: | 7017482637 |
| NPI Enumeration Date: | 02/22/2008 |
| NPI Last Update Date: | 02/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835G0303X |
| License Number: | 3470 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Geriatric |
| Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |