Provider Demographics
NPI:1679841308
Name:HILL, VIRGINIA KRISTEN (BS)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:KRISTEN
Last Name:HILL
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 VERDAE BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607
Mailing Address - Country:US
Mailing Address - Phone:864-627-4495
Mailing Address - Fax:864-627-4495
Practice Address - Street 1:101 VERDAE BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-3832
Practice Address - Country:US
Practice Address - Phone:864-627-4495
Practice Address - Fax:864-627-4496
Is Sole Proprietor?:No
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11632183500000X
NC17544183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist