Provider Demographics
NPI:1407184575
Name:HILL, NAOMI RUTHIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:RUTHIA
Last Name:HILL
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 1:7935 PIPERS CREEK ST
Mailing Address - Street 2:APT 502
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-2488
Mailing Address - Country:US
Mailing Address - Phone:954-592-9691
Mailing Address - Fax:
Practice Address - Street 1:138 SW MILITARY DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1612
Practice Address - Country:US
Practice Address - Phone:210-924-6582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47992183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist