Provider Demographics
NPI:1548460645
Name:HILBURGER, CAROL LYNN (PHARMD)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:LYNN
Last Name:HILBURGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:ELBA
Mailing Address - State:NY
Mailing Address - Zip Code:14058-9754
Mailing Address - Country:US
Mailing Address - Phone:716-474-2006
Mailing Address - Fax:
Practice Address - Street 1:81 MAIN ST
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-2101
Practice Address - Country:US
Practice Address - Phone:585-344-1570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0503691183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist