Provider Demographics
NPI:1366842239
Name:COAHRAN, HILLARY LYNN (PHARMD)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:LYNN
Last Name:COAHRAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:LYNN
Other - Last Name:PRESTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:2809 S. SOSSAMAN RD.
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85212
Mailing Address - Country:US
Mailing Address - Phone:480-354-4992
Mailing Address - Fax:480-354-6155
Practice Address - Street 1:2809 S. SOSSAMAN RD.
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85212
Practice Address - Country:US
Practice Address - Phone:480-354-4992
Practice Address - Fax:480-354-6155
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS020822183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist