Healthcare Provider Details

I. General information

NPI: 1699894865
Provider Name (Legal Business Name): KIMBERLY ANNE HUNTER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 ELMWOOD AVE
SHARON HILL PA
19079-1014
US

IV. Provider business mailing address

108 CEDAR AVE
WEST CONSHOHOCKEN PA
19428-2811
US

V. Phone/Fax

Practice location:
  • Phone: 484-953-1800
  • Fax:
Mailing address:
  • Phone: 484-953-1803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPD10264
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13398
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number18088
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2006015776
License Number StateMO
# 5
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI02069100
License Number StateNJ
# 6
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP438258
License Number StatePA
# 7
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number27459
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: