Provider Demographics
NPI:1235329624
Name:MARTINEZ, HILARY A (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:HILARY
Middle Name:A
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:HILARY
Other - Middle Name:A
Other - Last Name:HILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2151 KIMBERLY RD
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-3628
Mailing Address - Country:US
Mailing Address - Phone:563-324-5004
Mailing Address - Fax:
Practice Address - Street 1:2151 KIMBERLY RD
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-3628
Practice Address - Country:US
Practice Address - Phone:633-245-0045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI19628-40183500000X
IL051301806183500000X
WAPH00047924183500000X
IA23451183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist