Provider Demographics
NPI:1346794799
Name:HILL, ANDREW
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:HILL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2680 HENDERSON DR
Mailing Address - Street 2:UNIT 1
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-5296
Mailing Address - Country:US
Mailing Address - Phone:910-455-9982
Mailing Address - Fax:910-455-9588
Practice Address - Street 1:2680 HENDERSON DR
Practice Address - Street 2:UNIT 1
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-5296
Practice Address - Country:US
Practice Address - Phone:910-455-9982
Practice Address - Fax:910-455-9588
Is Sole Proprietor?:No
Enumeration Date:2016-08-14
Last Update Date:2016-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26236183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist