MEDICARE: KIMBERLY HILL 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
1	183500000X	Pharmacist	PS41317	FL

General Provider Information

NPI Number	:	1649553728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY HILL PHARM D

Provider Business Mailing Address
First Line	:	3323 N GREEN RIVER RD
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-1351
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3323 N GREEN RIVER RD
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-1351
Country	:	US
Telephone Number	:	812-475-1258
Fax Number	:

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

Provider Enumeration Date	:	09/24/2011
Last Update Date	:	09/24/2011

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Directions to “ KIMBERLY HILL PHARM D” Practice Location

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