Provider Demographics
NPI:1922695477
Name:COLLINS, HILLARY DIANNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:DIANNE
Last Name:COLLINS
Suffix:
Gender:F
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:PO BOX 400
Mailing Address - Street 2:
Mailing Address - City:COLDSPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77331-0400
Mailing Address - Country:US
Mailing Address - Phone:936-653-8201
Mailing Address - Fax:936-653-8203
Practice Address - Street 1:14761 HIGHWAY 150
Practice Address - Street 2:
Practice Address - City:COLDSPRING
Practice Address - State:TX
Practice Address - Zip Code:77331
Practice Address - Country:US
Practice Address - Phone:936-653-8201
Practice Address - Fax:936-653-8203
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48517183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist