MEDICARE: DR. CASEY JAMES HILDE 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	S023301	AZ

General Provider Information

NPI Number	:	1780174409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CASEY JAMES HILDE PHARMD

Provider Business Mailing Address
First Line	:	3644 N RIDGE PORT PL
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85750-2233
Country	:	US
Telephone Number	:	520-609-9012
Fax Number	:

Provider Business Practice Location Address
First Line	:	5983 E GRANT RD STE 101
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2366
Country	:	US
Telephone Number	:	866-733-1907
Fax Number	:

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

Provider Enumeration Date	:	05/17/2018
Last Update Date	:	05/06/2025

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