Provider Demographics
NPI:1326194531
Name:HILLIS, SARAH A (PHARMD)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:A
Last Name:HILLIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 STOCKBRIDGE CORNER RD
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:NH
Mailing Address - Zip Code:03809-5243
Mailing Address - Country:US
Mailing Address - Phone:561-306-4922
Mailing Address - Fax:
Practice Address - Street 1:80 HIGHLAND STREET
Practice Address - Street 2:LAKES REGION GENERAL HOSPITAL
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-1042
Practice Address - Country:US
Practice Address - Phone:603-527-2875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-28
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS32724183500000X
NHR1935183500000X
MAPH26551183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist