Provider Demographics
NPI:1558084970
Name:HILL, ROBERT RAY JR (RPH)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:RAY
Last Name:HILL
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 SAND RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33594-4048
Mailing Address - Country:US
Mailing Address - Phone:813-684-8684
Mailing Address - Fax:
Practice Address - Street 1:909 E LUMSDEN RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-6529
Practice Address - Country:US
Practice Address - Phone:813-684-8684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS19727183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist