Provider Demographics
NPI:1245464957
Name:IGBOKIDI, HILDA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HILDA
Middle Name:
Last Name:IGBOKIDI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:HILDA
Other - Middle Name:
Other - Last Name:RAINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 SOUTHWYK RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-8851
Mailing Address - Country:US
Mailing Address - Phone:302-328-0684
Mailing Address - Fax:
Practice Address - Street 1:200 SOUTHWYK RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-8851
Practice Address - Country:US
Practice Address - Phone:302-328-0684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-08
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444898183500000X
PARPI008416183500000X
DEA1-0004063183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP444898OtherPENNSYLVANIA PHARMACIST
PARPI008416OtherAUTHORIZATION TO ADMINISTER INJECTABLES
DEA1-0004063OtherDELAWARE IMMUNIZING PHARMACIST