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NPI Code Detail

MEDICARE: DR. ANN RENE HILLER PHARMD, BCACP

MEDICARE: DR. ANN RENE HILLER PHARMD, BCACP
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
1183500000XPharmacistRP00006519NM

General Provider Information

NPI Number : 1922001544
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANN RENE HILLER PHARMD, BCACP
Provider Business Mailing Address
First Line : PO BOX 969
Second Line :
City : ELKO
State : NV
Zip : 89803-0969
Country : US
Telephone Number : 505-930-4372
Fax Number :
Provider Business Practice Location Address
First Line : 515 SHOSHONE CIR
Second Line : SOUTHERN BANDS HEALTH CENTER
City : ELKO
State : NV
Zip : 89801-5072
Country : US
Telephone Number : 775-748-1444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 03/13/2016

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