Provider Demographics
NPI:1093941940
Name:HII, AHLET (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AHLET
Middle Name:
Last Name:HII
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 WHITLEY AVE
Mailing Address - Street 2:
Mailing Address - City:CORCORAN
Mailing Address - State:CA
Mailing Address - Zip Code:93212-2325
Mailing Address - Country:US
Mailing Address - Phone:951-992-2138
Mailing Address - Fax:559-992-5712
Practice Address - Street 1:1115 WHITLEY AVE
Practice Address - Street 2:
Practice Address - City:CORCORAN
Practice Address - State:CA
Practice Address - Zip Code:93212-2325
Practice Address - Country:US
Practice Address - Phone:951-992-2138
Practice Address - Fax:559-992-5712
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-05
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57877183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist