Provider Demographics
NPI:1629155148
Name:HILL, CHARLES E (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:E
Last Name:HILL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 5TH AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4224
Mailing Address - Country:US
Mailing Address - Phone:717-709-7977
Mailing Address - Fax:717-709-7993
Practice Address - Street 1:830 5TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4224
Practice Address - Country:US
Practice Address - Phone:717-709-7977
Practice Address - Fax:717-709-7993
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039849L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018271470001Medicaid
PA0018271470001Medicaid