Provider Demographics
NPI:1699906420
Name:HILL, MIRANDA M (PHARMD, JD)
Entity type:Individual
Prefix:DR
First Name:MIRANDA
Middle Name:M
Last Name:HILL
Suffix:
Gender:F
Credentials:PHARMD, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 KING GEORGE BLVD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-6924
Mailing Address - Country:US
Mailing Address - Phone:734-686-5614
Mailing Address - Fax:
Practice Address - Street 1:333 S MAIN ST STE 202
Practice Address - Street 2:METRO DRUG INFORMATION SERVICES, INC.
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-2179
Practice Address - Country:US
Practice Address - Phone:734-686-5614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2014-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53024105961835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist