Provider Demographics
NPI:1376840678
Name:HILLS, LESLI JO (PHARMD)
Entity Type:Individual
Prefix:
First Name:LESLI
Middle Name:JO
Last Name:HILLS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 WILLIAMSON RD STE 1B
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-1224
Mailing Address - Country:US
Mailing Address - Phone:724-588-6337
Mailing Address - Fax:724-373-8460
Practice Address - Street 1:43 WILLIAMSON RD STE 1B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16125-1224
Practice Address - Country:US
Practice Address - Phone:724-588-6337
Practice Address - Fax:724-373-8460
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11687183500000X
PARP449368183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist