Provider Demographics
NPI:1043531833
Name:SHAND, HILLEL OLIVIER (PHARMD MPH)
Entity Type:Individual
Prefix:DR
First Name:HILLEL
Middle Name:OLIVIER
Last Name:SHAND
Suffix:
Gender:M
Credentials:PHARMD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22421 BARTON RD STE 261
Mailing Address - Street 2:
Mailing Address - City:GRAND TERRACE
Mailing Address - State:CA
Mailing Address - Zip Code:92313-5008
Mailing Address - Country:US
Mailing Address - Phone:909-800-4676
Mailing Address - Fax:
Practice Address - Street 1:22421 BARTON RD STE 261
Practice Address - Street 2:
Practice Address - City:GRAND TERRACE
Practice Address - State:CA
Practice Address - Zip Code:92313-5008
Practice Address - Country:US
Practice Address - Phone:909-800-4676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA636911835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy