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NPI Code Detail

MEDICARE: LISA ANN HILLMAN PHARM D

MEDICARE: LISA ANN HILLMAN PHARM D
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
1183500000XPharmacist118522MN

General Provider Information

NPI Number : 1396060703
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ANN HILLMAN PHARM D
Provider Business Mailing Address
First Line : 711 KASOTA AVE SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55414
Country : US
Telephone Number : 612-972-5260
Fax Number : 612-672-5262
Provider Business Practice Location Address
First Line : 711 KASOTA AVE SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55414-2842
Country : US
Telephone Number : 612-672-5260
Fax Number : 612-672-5262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2010
Last Update Date : 03/30/2010

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