Provider Demographics
NPI:1689959199
Name:HILL, BELINDA JAYNE
Entity Type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:JAYNE
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BELINDA
Other - Middle Name:JAYNE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2736 SECOR RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-2939
Mailing Address - Country:US
Mailing Address - Phone:269-250-0888
Mailing Address - Fax:
Practice Address - Street 1:4580 MONROE ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-4738
Practice Address - Country:US
Practice Address - Phone:419-474-3915
Practice Address - Fax:419-474-6277
Is Sole Proprietor?:No
Enumeration Date:2011-10-15
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03317234183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist