Healthcare Provider Details

I. General information

NPI: 1679521546
Provider Name (Legal Business Name): ARDEN JOHN HILL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 06/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 S TEXAS ST
DE LEON TX
76444-1945
US

IV. Provider business mailing address

709 E HAM AVE
DE LEON TX
76444-2229
US

V. Phone/Fax

Practice location:
  • Phone: 254-893-2666
  • Fax:
Mailing address:
  • Phone: 214-605-9706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16891
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: