Healthcare Provider Details

I. General information

NPI: 1184959504
Provider Name (Legal Business Name): SONJA HITCHMAN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2009
Last Update Date: 10/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19631 W CATAWBA AVE
CORNELIUS NC
28031-4002
US

IV. Provider business mailing address

19631 W CATAWBA AVE
CORNELIUS NC
28031-4002
US

V. Phone/Fax

Practice location:
  • Phone: 704-895-1342
  • Fax: 704-895-1348
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number18363
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: