Provider Demographics
NPI:1912303462
Name:BURKE, HILARY CHARLOTTE (PHARMD)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:CHARLOTTE
Last Name:BURKE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:CHARLOTTE
Other - Last Name:MARKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:41 AVENUE LOUIS PASTEUR
Mailing Address - Street 2:SUITE 216
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5727
Mailing Address - Country:US
Mailing Address - Phone:617-264-3000
Mailing Address - Fax:617-264-3011
Practice Address - Street 1:41 AVENUE LOUIS PASTEUR
Practice Address - Street 2:SUITE 216
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5727
Practice Address - Country:US
Practice Address - Phone:617-264-3000
Practice Address - Fax:617-264-3011
Is Sole Proprietor?:No
Enumeration Date:2014-11-11
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20110287301835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist