Healthcare Provider Details

I. General information

NPI: 1174409817
Provider Name (Legal Business Name): HILLARY BUZBY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 RANDOLPH RD STE 200
CHARLOTTE NC
28211-1365
US

IV. Provider business mailing address

1036 VICTORIA BLAKE LN
BELMONT NC
28012-6537
US

V. Phone/Fax

Practice location:
  • Phone: 704-512-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25125
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: