Provider Demographics
NPI:1013566330
Name:MCNICHOLAS, HILARY S (PHARMD)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:S
Last Name:MCNICHOLAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:GWYN
Other - Last Name:SWEAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7111 E BELL RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5638
Mailing Address - Country:US
Mailing Address - Phone:480-948-1142
Mailing Address - Fax:
Practice Address - Street 1:7111 E BELL RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5638
Practice Address - Country:US
Practice Address - Phone:480-948-1142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS024067183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist