Provider Demographics
NPI:1598412371
Name:FLICKINGER, HILARY ANNE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:HILARY
Middle Name:ANNE
Last Name:FLICKINGER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:ANNE
Other - Last Name:QUINLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:275 COURT ST
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:KY
Mailing Address - Zip Code:40336-1089
Mailing Address - Country:US
Mailing Address - Phone:606-723-0044
Mailing Address - Fax:606-723-0054
Practice Address - Street 1:275 COURT ST
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:KY
Practice Address - Zip Code:40336-1089
Practice Address - Country:US
Practice Address - Phone:606-723-0044
Practice Address - Fax:606-723-0054
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY020530183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist