Healthcare Provider Details

I. General information

NPI: 1003781303
Provider Name (Legal Business Name): HILLARY HOLDER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HILLARY BROWN PHARMD

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 LEE ST
CHARLOTTESVILLE VA
22908-0816
US

IV. Provider business mailing address

96 BRANCH LN
ZION CROSSROADS VA
22942-6942
US

V. Phone/Fax

Practice location:
  • Phone: 434-924-3627
  • Fax:
Mailing address:
  • Phone: 334-303-6796
  • Fax: 334-303-6796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number17447
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number0202213178
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: