Provider Demographics
NPI:1396058111
Name:HILL, ALLISON GLOGOSH (RPH)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:GLOGOSH
Last Name:HILL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:LAURISSA
Other - Last Name:GLOGOSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:215 OAKS GRANDE RD
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77523-0849
Mailing Address - Country:US
Mailing Address - Phone:713-392-0827
Mailing Address - Fax:
Practice Address - Street 1:3700 HIGHWAY 365
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-7709
Practice Address - Country:US
Practice Address - Phone:409-724-1914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46339183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist