Individual
MR. BRENT HYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
128 COLE RD, MONROE, MI 48162-4104
(734) 242-2966
Mailing address
1516 HAMPTON CT APT B, MONROE, MI 48162-3360
(734) 730-9221
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302036329
MI
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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