Provider Demographics
NPI:1467020008
Name:HILL, KEIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KEIA
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 1:1305 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4102
Mailing Address - Country:US
Mailing Address - Phone:301-631-3828
Mailing Address - Fax:301-631-3827
Practice Address - Street 1:1305 W 7TH ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4102
Practice Address - Country:US
Practice Address - Phone:301-631-3828
Practice Address - Fax:301-631-3827
Is Sole Proprietor?:No
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23943183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist