MEDICARE: GEORGIA 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
1	183500000X	Pharmacist	21709	NC

General Provider Information

NPI Number	:	1689954471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGIA HILL PHARMD

Provider Business Mailing Address
First Line	:	736 IDEAL WAY
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-5627
Country	:	US
Telephone Number	:	919-920-6882
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 HWY 127 SOUTH
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602
Country	:	US
Telephone Number	:	828-294-0058
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2011
Last Update Date	:	08/24/2011

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