Provider Demographics
NPI:1447513494
Name:HILLMAN, WILLIAM E JR (RPH)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:E
Last Name:HILLMAN
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:HILLMAN
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:1247 ROSE LN
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:SC
Mailing Address - Zip Code:29108-4131
Mailing Address - Country:US
Mailing Address - Phone:803-276-4150
Mailing Address - Fax:803-276-4150
Practice Address - Street 1:106 JIMMY MARTIN CIR
Practice Address - Street 2:
Practice Address - City:GASTON
Practice Address - State:SC
Practice Address - Zip Code:29053-9242
Practice Address - Country:US
Practice Address - Phone:803-794-5233
Practice Address - Fax:803-794-5543
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-23
Last Update Date:2012-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5466183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist