MEDICARE: DR. KATHLEEN MARY 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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	37373	CA

General Provider Information

NPI Number	:	1790021764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHLEEN MARY HILL PHARMD

Provider Business Mailing Address
First Line	:	734 MONTANA AVE
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-1404
Country	:	US
Telephone Number	:	310-451-1414
Fax Number	:

Provider Business Practice Location Address
First Line	:	734 MONTANA AVE
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-1404
Country	:	US
Telephone Number	:	310-451-1414
Fax Number	:

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

Provider Enumeration Date	:	12/19/2012
Last Update Date	:	08/01/2016

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