Provider Demographics
NPI:1295088516
Name:HILL, DESTINI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DESTINI
Middle Name:
Last Name:HILL
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 1:2020 COMMERCE DR NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901
Mailing Address - Country:US
Mailing Address - Phone:507-286-1870
Mailing Address - Fax:507-286-1861
Practice Address - Street 1:2020 COMMERCE DR NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901
Practice Address - Country:US
Practice Address - Phone:507-286-1870
Practice Address - Fax:507-286-1861
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-24
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN121120183500000X
LA019903183500000X
TX52291183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist