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NPI Code Detail

MEDICARE: IAN D HILL PHARMD

MEDICARE: IAN D HILL PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist03334995OH

General Provider Information

NPI Number : 1629678503
Entity Type Code : Individual
Provider Name (Legal Business Name) : IAN D HILL PHARMD
Provider Business Mailing Address
First Line : 555 COLEMANS XING
Second Line :
City : MARYSVILLE
State : OH
Zip : 43040-7042
Country : US
Telephone Number : 937-644-3100
Fax Number : 937-644-2702
Provider Business Practice Location Address
First Line : 555 COLEMANS XING
Second Line :
City : MARYSVILLE
State : OH
Zip : 43040-7042
Country : US
Telephone Number : 937-644-3100
Fax Number : 937-644-2702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2020
Last Update Date : 10/29/2020

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