Healthcare Provider Details

I. General information

NPI: 1447513494
Provider Name (Legal Business Name): WILLIAM E. HILLMAN JR. R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BILL HILLMAN JR. R.PH.

II. Dates (important events)

Enumeration Date: 06/23/2012
Last Update Date: 06/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 JIMMY MARTIN CIR
GASTON SC
29053-9242
US

IV. Provider business mailing address

1247 ROSE LN
NEWBERRY SC
29108-4131
US

V. Phone/Fax

Practice location:
  • Phone: 803-794-5233
  • Fax: 803-794-5543
Mailing address:
  • Phone: 803-276-4150
  • Fax: 803-276-4150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5466
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: