Provider Demographics
NPI:1992065270
Name:HILL, JEFFREY W (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:W
Last Name:HILL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 HIGHWAY 35
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07762-2543
Mailing Address - Country:US
Mailing Address - Phone:732-282-0719
Mailing Address - Fax:732-282-9069
Practice Address - Street 1:2006 HIGHWAY 35
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07762-2543
Practice Address - Country:US
Practice Address - Phone:732-282-0719
Practice Address - Fax:732-282-9069
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-21
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RIO3445000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist