Provider Demographics
NPI:1013281617
Name:HILTON, KATELYN (PHARMD)
Entity Type:Individual
Prefix:
First Name:KATELYN
Middle Name:
Last Name:HILTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:
Other - Last Name:PERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3755 AIRPORT WAY
Mailing Address - Street 2:ATTN: PHARMACY
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-4610
Mailing Address - Country:US
Mailing Address - Phone:907-474-1433
Mailing Address - Fax:907-474-1447
Practice Address - Street 1:3755 AIRPORT WAY
Practice Address - Street 2:ATTN: PHARMACY
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-4610
Practice Address - Country:US
Practice Address - Phone:907-474-1433
Practice Address - Fax:907-474-1447
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA21388183500000X
AK1973183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist