MEDICARE: HILLARY BAKER THOMAS PHARMD

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	20396	NC

General Provider Information

NPI Number	:	1700295706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILLARY BAKER THOMAS PHARMD

Provider Business Mailing Address
First Line	:	4500 FAYETTEVILLE RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-3614
Country	:	US
Telephone Number	:	919-772-2640
Fax Number	:	919-772-2913

Provider Business Practice Location Address
First Line	:	4500 FAYETTEVILLE RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-3614
Country	:	US
Telephone Number	:	919-772-2640
Fax Number	:	919-772-2913

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

Provider Enumeration Date	:	08/05/2014
Last Update Date	:	08/05/2014

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