Provider Demographics
NPI:1184031221
Name:PRUITT, HILLARY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:
Last Name:PRUITT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:HILLARY
Other - Middle Name:
Other - Last Name:MCADAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2440 WESTFALL RD
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-6128
Mailing Address - Country:US
Mailing Address - Phone:775-560-0297
Mailing Address - Fax:
Practice Address - Street 1:975 KIRMAN AVE
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-0993
Practice Address - Country:US
Practice Address - Phone:775-786-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18761183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist