Provider Demographics
NPI:1578870614
Name:DUVIVIER, HILLARY LEIGH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:LEIGH
Last Name:DUVIVIER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:LEIGH
Other - Last Name:VOLSTEADT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3069 VIRGINIA STREET
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133
Mailing Address - Country:US
Mailing Address - Phone:928-207-6477
Mailing Address - Fax:928-338-3510
Practice Address - Street 1:KROME SERVICE PROCESSING CENTER
Practice Address - Street 2:18201 SW 12TH STREET
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33194
Practice Address - Country:US
Practice Address - Phone:305-207-2001
Practice Address - Fax:928-338-3510
Is Sole Proprietor?:No
Enumeration Date:2010-09-10
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS018114183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM57709751Medicaid