MEDICARE: BURTON L HILL RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	16445	AL

General Provider Information

NPI Number	:	1003172701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BURTON L HILL RPH

Provider Business Mailing Address
First Line	:	46 MOUNTAIN VIEW LN
Second Line	:
City	:	DADEVILLE
State	:	AL
Zip	:	36853-5794
Country	:	US
Telephone Number	:	256-307-1135
Fax Number	:

Provider Business Practice Location Address
First Line	:	4601 MONTGOMERY HWY
Second Line	:
City	:	DOTHAN
State	:	AL
Zip	:	36303-1656
Country	:	US
Telephone Number	:	334-340-1113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2012
Last Update Date	:	04/06/2012

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