Provider Demographics
NPI:1194257808
Name:HACHTEL, DYLAN TODD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DYLAN
Middle Name:TODD
Last Name:HACHTEL
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 1:8080 TRISTAR DR
Mailing Address - Street 2:STE. 120
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-2811
Mailing Address - Country:US
Mailing Address - Phone:972-815-0460
Mailing Address - Fax:972-915-3841
Practice Address - Street 1:8080 TRISTAR DR
Practice Address - Street 2:STE. 120
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-2811
Practice Address - Country:US
Practice Address - Phone:972-815-0460
Practice Address - Fax:972-915-3841
Is Sole Proprietor?:No
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51918183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist