Healthcare Provider Details

I. General information

NPI: 1700493681
Provider Name (Legal Business Name): CAITLIN HILL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2020
Last Update Date: 09/25/2020
Certification Date: 09/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 FAULKNER DR
BAY MINETTE AL
36507-2771
US

IV. Provider business mailing address

300 FAULKNER DR
BAY MINETTE AL
36507-2771
US

V. Phone/Fax

Practice location:
  • Phone: 251-937-9881
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number17459
License Number StateAL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: