Provider Demographics
NPI:1134553324
Name:HILLERY, IRIS EMI (PHARMD)
Entity type:Individual
Prefix:
First Name:IRIS
Middle Name:EMI
Last Name:HILLERY
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 1:1000 ESCALON AVE APT A2007
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-4193
Mailing Address - Country:US
Mailing Address - Phone:808-342-8778
Mailing Address - Fax:
Practice Address - Street 1:1000 ESCALON AVE APT A2007
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4193
Practice Address - Country:US
Practice Address - Phone:808-342-8778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-25
Last Update Date:2015-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69360183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist