Provider Demographics
NPI:1063792802
Name:HIGHMAN, HILLARY ANNE (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:ANNE
Last Name:HIGHMAN
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13201 RITTENHOUSE DR
Mailing Address - Street 2:PHARMACY
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-6245
Mailing Address - Country:US
Mailing Address - Phone:419-345-8385
Mailing Address - Fax:
Practice Address - Street 1:13201 RITTENHOUSE DR
Practice Address - Street 2:PHARMACY
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-6245
Practice Address - Country:US
Practice Address - Phone:419-345-8385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202210702183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0202210702OtherSTATE BOARD OF PHARMACY