Provider Demographics
NPI:1740854249
Name:HILLIARD, CHRISTINA SMITH (RPH)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:SMITH
Last Name:HILLIARD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:
Other - Last Name:HILLIARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2311 DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-7321
Mailing Address - Country:US
Mailing Address - Phone:919-475-9003
Mailing Address - Fax:
Practice Address - Street 1:6118 FARRINGTON RD STE H
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-8108
Practice Address - Country:US
Practice Address - Phone:919-883-4227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12263183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC12263OtherNCBOP