Healthcare Provider Details

I. General information

NPI: 1306111661
Provider Name (Legal Business Name): RENAY DAWN HILLMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RAY DAWN HILLMAN PHARMD

II. Dates (important events)

Enumeration Date: 03/19/2012
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 SE BISHOP BLVD
PULLMAN WA
99163-5512
US

IV. Provider business mailing address

920 SW PANORAMA DR
PULLMAN WA
99163-5968
US

V. Phone/Fax

Practice location:
  • Phone: 509-432-4426
  • Fax:
Mailing address:
  • Phone: 509-432-4426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00072327
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: