Provider Demographics
NPI:1538990502
Name:HILL, RICHARD JAMIE JR
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:JAMIE
Last Name:HILL
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7403 GREENWOOD AVE N APT C
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-5062
Mailing Address - Country:US
Mailing Address - Phone:901-827-2571
Mailing Address - Fax:
Practice Address - Street 1:7403 GREENWOOD AVE N APT C
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-5062
Practice Address - Country:US
Practice Address - Phone:901-827-2571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician