Provider Demographics
NPI:1750978037
Name:BILITER, HUBERT DANIEL (PHARMD)
Entity type:Individual
Prefix:
First Name:HUBERT
Middle Name:DANIEL
Last Name:BILITER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2187 LEXINGTON RD STE 1
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-7919
Mailing Address - Country:US
Mailing Address - Phone:859-624-9797
Mailing Address - Fax:859-624-9099
Practice Address - Street 1:2187 LEXINGTON RD STE 1
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-7919
Practice Address - Country:US
Practice Address - Phone:859-624-9797
Practice Address - Fax:859-624-9099
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-21
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY012279183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist