Provider Demographics
NPI:1679521546
Name:HILL, ARDEN JOHN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ARDEN
Middle Name:JOHN
Last Name:HILL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 E HAM AVE
Mailing Address - Street 2:
Mailing Address - City:DE LEON
Mailing Address - State:TX
Mailing Address - Zip Code:76444-2229
Mailing Address - Country:US
Mailing Address - Phone:214-605-9706
Mailing Address - Fax:
Practice Address - Street 1:309 S TEXAS ST
Practice Address - Street 2:
Practice Address - City:DE LEON
Practice Address - State:TX
Practice Address - Zip Code:76444-1945
Practice Address - Country:US
Practice Address - Phone:254-893-2666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16891183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist